Individual
MRS. SHANNON GOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2595 ARLINGTON AVE, TOLEDO, OH 43614-2673
(734) 845-3664
Mailing address
2595 ARLINGTON, TOLEDO, OH 43614
(734) 845-3664
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4704223582
MI
163WH0200X
Home Health Registered Nurse
Primary
RN-249199
OH
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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