Individual
IDESHIA LA'VEEN MARIE SHUMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 NORWOOD AVE, TOLEDO, OH 43607-2050
(419) 508-6372
Mailing address
903 NORWOOD AVE, TOLEDO, OH 43607-2050
(419) 508-6372
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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