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Individual

SHANTHI E RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
4300 ALLEN RD STE 420, STOW, OH 44224-1032
(330) 344-1260
(330) 344-1190
Mailing address
4300 ALLEN RD STE 420, STOW, OH 44224-1032
(330) 344-1260
(330) 344-1190

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
541329
TX
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
541329
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TX541329
APN LICENSE
TX
Enumeration date
10/04/2012
Last updated
07/18/2024
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