Individual
SHAKAHNA HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
15421 HARVARD AVE, CLEVELAND, OH 44128-1944
(440) 694-9867
Mailing address
15421 HARVARD AVE, CLEVELAND, OH 44128-1944
(440) 694-9867
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
601835921022
OH
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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