Miss Crystal Lucille Shannon, LPN | |
698 Carlysle St, Akron, OH 44310-2963 | |
(336) 965-0946 | |
Not Available |
Full Name | Miss Crystal Lucille Shannon |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 698 Carlysle St, Akron, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922398551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN124501 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Crystal Lucille Shannon, LPN 698 Carlysle St, Akron, OH 44310-2963 Ph: (336) 965-0946 | Miss Crystal Lucille Shannon, LPN 698 Carlysle St, Akron, OH 44310-2963 Ph: (336) 965-0946 |
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