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Tierra Shackleford-Banks

NPI 1376074948 · on the registry since 2017

Practice

Address
202 E Bagley Rd
Berea, OH 44017
Phone
(440) 234-2006
Organisation at this address
Ohioguidestone
Ohioguidestone
Ohioguidestone
Ohioguidestone
Ohioguidestone
Inferred from a shared address, not stated in the registry.
Clinicians at this address
180

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
103K00000X
Licence states on file
WA, OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-20

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