Tammy Shaull

NPI #1124614615 in Mansfield, Ohio

Provider Information

NPI Number: 1124614615
Entity Type: Individual
Name: Tammy Shaull
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Dec 18, 2020
Last Updated: Dec 18, 2020

Practice Location

Address: 1748 HANLEY RD W
City: Mansfield
State: Ohio
ZIP Code: 44904-1420
Phone: (419) 512-8452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary
Private Vehicle	347C00000X

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