Individual
JOANNA KEELE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 E 200 S, TOOELE, UT 84074-2763
(435) 843-2000
(435) 843-2090
Mailing address
942 N 1250 E, TOOELE, UT 84074-9203
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8145475-3102
UT
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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