Shawnte Self

NPI #1861031536 in Maumee, Ohio

Provider Information

NPI Number
1861031536
Entity Type
Individual
Name
Shawnte Self
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 30, 2019
Last Updated
Dec 30, 2019

Practice Location

Address
1757 INDIAN WOOD CIR
City
Maumee
State
Ohio
ZIP Code
43537-4009
Phone
(833) 440-8647

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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