Individual
DEVONA K SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22410 STATE ROUTE 136, WINCHESTER, OH 45697-9733
(937) 695-0024
Mailing address
22410 STATE ROUTE 136, WINCHESTER, OH 45697-9733
(937) 695-0024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
150425-M-IV
OH
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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