Individual
SHELLY D YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
785 SUMMERSVILLE LAKE RD, MOUNT NEBO, WV 26679-9203
(304) 883-2334
Mailing address
PO BOX 569, MOUNT NEBO, WV 26679-0569
(304) 883-2334
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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