Raelene A Janus-Shattuck, PN140739-M-IV

NPI #1386902161 in Brunswick, Ohio

Provider Information

NPI Number
1386902161
Entity Type
Individual
Name
Raelene A Janus-Shattuck, PN140739-M-IV
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
PN140739-M-IV
Enumeration Date
Apr 30, 2012
Last Updated
Apr 14, 2022

Practice Location

Address
4001 GANYARD AVE
State
Ohio
ZIP Code
44212-2717
Phone
(330) 220-8431

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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