IndividualActive
Shawon Gullette, CERTIFIED HAIR LOSS
NPI 1376085258 · Prosthetics Case Management · Dayton, OH
Provider details
- NPI number
- 1376085258
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CERTIFIED HAIR LOSS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
5250 Far Hills Ave
Dayton, OH 45429-2382
Phone: (937) 281-0555
Approximate (ZIP-level) locationGet directions
Mailing address
5250 Far Hills Ave
Dayton, OH 45429-2382
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.