Individual
JERRAN SHAFEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6451
Mailing address
8756 MILLPOND DR, REYNOLDSBURG, OH 43068-8507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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