DERRION SHANNON

ELYRIA, OH
NPI1215702568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
DERRION SHANNON
123 TAFT AVE
ELYRIA, OH 44035-3545
Phone number: 440-444-5357
Mailing Address
DERRION SHANNON
123 TAFT AVE
ELYRIA, OH 44035-3545
Phone number: 440-444-5357