Individual
SHALONDA C EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 LAWRENCE AVE, TOLEDO, OH 43610-1276
(419) 245-8742
Mailing address
2726 LAWRENCE AVE, TOLEDO, OH 43610-1276
(419) 245-8742
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
0087056
OH
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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