Individual
HEATHER D SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IP
Contact information
Practice address
412 E 6TH ST, MANCHESTER, OH 45144-1416
(937) 549-2474
Mailing address
412 E 6TH ST, MANCHESTER, OH 45144-1416
(937) 549-2474
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2744463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2744463
—
OH
Enumeration date
06/10/2008
Last updated
06/10/2008
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