Most Relevant Information
Provider Data
| NPI Number: | 1003595638 |
| Provider Name: | REMA M SHAKHTRA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2023 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
165 E PARK AVE
NILES
OH
444462352
Practice Location Phone/Fax
| Phone: | 3305448005 |
| Fax: | 3305449379 |
Provider Mailing Location
3782 BAYMAR DR
YOUNGSTOWN
OH
445112958
Provider Mailing Phone/Fax
| Phone: | 3307871439 |
| Fax: |