SANDRA KAYE SHAW

CANTON, OH
NPI1710275680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OH  COA12432NP)
Enumeration Date2011-07-13
Last Update Date2015-12-31
Business Address
-- SANDRA KAYE SHAW CNP
733 MARKET AVE S
CANTON, OH 44702-2165
Phone number: 330-687-8589
Mailing Address
-- SANDRA KAYE SHAW CNP
733 MARKET AVE S
CANTON, OH 44702-2165
Phone number: 330-687-8589