Individual ProviderMayuu ShagawaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address53 Richland Ave, Athens, OH 45701-2745(740) 593-9497PECOS EnrollmentBased on the most recent information from CMS, provider Mayuu Shagawa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1912789512Provider TypeIndividualFull NameShagawa, MayuuGenderFemaleSole ProprietorYesEnumeration Date10/18/2023Last Updated10/18/2023Contact InformationPractice LocationPractice Address53 Richland Ave, Athens, OH 45701-2745Phone(740) 593-9497FaxUnlisted FaxMailing LocationMailing Address53 Richland Ave, Athens, OH 45701-2745Phone(740) 593-9497FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer