Individual
MRS. CLARA ALVADA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1221 GRANDVIEW AVE, PORTSMOUTH, OH 45662
(740) 354-5959
Mailing address
1221 GRANDVIEW AVE, PORTSMOUTH, OH 45662
(740) 354-5959
(740) 354-5959
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN081113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2241274
—
OH
Enumeration date
04/06/2007
Last updated
07/08/2007
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