Individual
MISS KATIE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 FREDRICKS RD, SUNBURY, OH 43074-8388
(614) 530-6800
Mailing address
4760 FREDRICKS RD, SUNBURY, OH 43074-8388
(614) 530-6800
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473149
—
OH
Enumeration date
01/30/2022
Last updated
01/30/2022
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