Individual
BIONCCA SHANIECE WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 QUARTZ RD, MARTINSBURG, WV 25404-3712
(240) 203-4105
Mailing address
59 QUARTZ RD, MARTINSBURG, WV 25404-3712
(240) 203-4105
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
07/07/2021
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