Individual
SHANICE LASHAE' AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5715 HINCKLEY CT, HUBER HEIGHTS, OH 45424-3528
(937) 469-9987
Mailing address
5715 HINCKLEY CT, HUBER HEIGHTS, OH 45424-3528
(937) 469-9987
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
449384
OH
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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