Jerry Shaw
NPI #1922763648 in Hyde, Pennsylvania
Provider Information
- NPI Number
- 1922763648
- Entity Type
- Individual
- Name
- Jerry Shaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 8, 2021
- Last Updated
- Nov 8, 2021
Practice Location
- Address
- 1208 HALL STREET
- City
- Hyde
- State
- Pennsylvania
- ZIP Code
- 16830
- Phone
- (814) 553-5312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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