Individual
JOYCE SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46150 NATIONAL RD W, SAINT CLAIRSVILLE, OH 43950-8715
(740) 695-2443
Mailing address
46150 NATIONAL RD W, SAINT CLAIRSVILLE, OH 43950-8715
(740) 695-2443
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
07102
OH
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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