Jennell Frieda Shane
NPI #1245047042 in Upper Sandusky, Ohio
Provider Information
- NPI Number
- 1245047042
- Entity Type
- Individual
- Name
- Jennell Frieda Shane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Dec 16, 2024
- Last Updated
- Dec 16, 2024
Practice Location
- Address
- 204 WESTBROOK BLVD APT F
- City
- Upper Sandusky
- State
- Ohio
- ZIP Code
- 43351-8971
- Phone
- (567) 213-9382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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