Individual
SHONDA L WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 BURKHARDT AVE, AKRON, OH 44301-1543
(330) 724-2616
Mailing address
1012 BURKHARDT AVE, AKRON, OH 44301-1543
(330) 724-2616
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2738345
—
OH
Enumeration date
06/02/2008
Last updated
06/02/2008
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