Individual
CHRISTINA LEIGH SIMONIS SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1141 BEECHWOOD RD, SALEM, OH 44460-1021
(330) 277-7199
Mailing address
1141 BEECHWOOD RD, SALEM, OH 44460-1021
(330) 277-7199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN121360IV
OH
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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