Individual
ANGELA MAE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 HARMON ST SW, NORTH CANTON, OH 44720-3063
(330) 309-7596
Mailing address
224 HARMON ST SW, NORTH CANTON, OH 44720-3063
(330) 309-7596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 299811
OH
163WH0200X
Home Health Registered Nurse
Primary
RN. 299811
OH
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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