Individual
SHANNON RAE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 SWIGART RD, BARBERTON, OH 44203-4734
(330) 322-9874
Mailing address
1200 SWIGART RD, BARBERTON, OH 44203-4734
(330) 322-9874
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S6507
OH
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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