Individual
SHELLY MARIE PAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38863 COURTLAND DR, WILLOUGHBY, OH 44094-7509
(440) 525-3126
Mailing address
38863 COURTLAND DR, WILLOUGHBY, OH 44094-7509
(440) 525-3126
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2263036
OH
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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