Individual
ALEXANDRA SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
(440) 534-1985
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
(440) 534-1985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.169550.MEDS-IV
OH
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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