Provider Demographics
NPI:1295400364
Name:SHAFFER, JANEEN HOPE
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:HOPE
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-1166
Mailing Address - Country:US
Mailing Address - Phone:540-814-1552
Mailing Address - Fax:
Practice Address - Street 1:41 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1166
Practice Address - Country:US
Practice Address - Phone:540-814-1552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date: