| NPI | 1245104108 |
|---|---|
| Former Name | SHANNON MARIE FOGGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH SA839506) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |