SearchOhio253Z00000X

Shavontia Sharrock

NPI 1811653850 · on the registry since 2021 · sole proprietor

Practice

Address
661 Highland Ave
Mansfield, OH 44903
Phone
(419) 560-1168

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
251E00000X
251J00000X
374U00000X
385HR2065X
376J00000X
385HR2060X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio