Individual
CANDY KAY SHANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4698 BLACKSNAKE HILL RD NE, DOVER, OH 44622-7931
(330) 340-9240
(330) 343-4006
Mailing address
4698 BLACKSNAKE HILL RD NE, DOVER, OH 44622-7931
(330) 340-9240
(330) 343-4006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN150700
OH
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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