Individual
ROSA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
546 UNIVERSITY AVE, ELYRIA, OH 44035-7250
(440) 657-0966
Mailing address
546 UNIVERSITY AVE, ELYRIA, OH 44035-7250
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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