Individual
MRS. NICOLE LEEANN SHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 SILVER MEADOWS BLVD, KENT, OH 44240-1919
(330) 474-3188
(330) 673-6663
Mailing address
785 SILVER MEADOWS BLVD, KENT, OH 44240-1919
(330) 474-3188
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002543
OH
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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