Individual
MRS. BARBARA E. SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 RICHIE DRIVE, WEST CARROLLTON, OH 45449
(937) 866-6856
Mailing address
510 RICHIE DRIVE, WEST CARROLLTON, OH 45449
(937) 866-6856
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2708654
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2708654
—
OH
Enumeration date
05/01/2007
Last updated
07/09/2007
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