Individual
SHANNON FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 HARTS CRK, HARTS, WV 25524-7546
(304) 855-0044
Mailing address
740 HARTS CRK, HARTS, WV 25524-7546
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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