Individual
MS. SHANDA HUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 BUSCH BLVD STE 290, COLUMBUS, OH 43229-2587
(614) 987-5003
(614) 987-5167
Mailing address
100 5 OAKS AVE APT 2, DAYTON, OH 45405-4313
(937) 900-8848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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