Individual
SHAMIKO MEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 19TH ST NE, CANTON, OH 44714-2217
(330) 936-2222
Mailing address
902 19TH ST NE, CANTON, OH 44714-2217
(330) 936-2222
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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