Shannon Moss

NPI #1639610561 in Canton, Ohio

Provider Information

NPI Number: 1639610561
Entity Type: Individual
Name: Shannon Moss
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 11, 2017
Last Updated: Dec 3, 2020

Practice Location

Address: 746 MARION AVE SW
City: Canton
State: Ohio
ZIP Code: 44707-4371
Phone: (330) 313-0919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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