Individual
MS. LAPRECE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA/LPN
Contact information
Practice address
5981 MARVIN ST, TAYLOR, MI 48180-1188
(419) 984-6982
Mailing address
3 RAVINE PARK VLG, TOLEDO, OH 43605-4905
(419) 984-6982
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
32222191440512
OH
376K00000X
Nurse's Aide
Primary
230014192390608
MI
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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