Individual
MS. ISHA SHANTE VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
97 JEWETT ST, AKRON, OH 44305-2313
(330) 634-6397
Mailing address
97 JEWETT ST, AKRON, OH 44305-2313
(330) 634-6397
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
130040-IV
OH
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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