Individual
MISS SHANNON HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 FOREST RIDGE CT, MINERAL RIDGE, OH 44440-9775
(330) 307-0359
Mailing address
3823 FOREST RIDGE CT, MINERAL RIDGE, OH 44440-9775
(330) 307-0359
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400569511206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087517
—
OH
Enumeration date
06/13/2014
Last updated
06/13/2014
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