Individual
SHAYE JOEONNA ELSAESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 WILLOWWOOD DR, CHIPPEWA LAKE, OH 44215-9643
(315) 261-8105
Mailing address
54 WILLOWWOOD DR, CHIPPEWA LAKE, OH 44215-9643
(315) 261-8105
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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