Individual
MARY JO SHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
909 W MAIN ST, STE 2, MANCHESTER, IA 52057
(563) 927-6700
(319) 398-3501
Mailing address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P10324
IA
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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