Individual
SHIRLEY CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 SWAN LN, LOUISA, KY 41230-7696
(606) 232-2714
Mailing address
3609 HUGHES ST, HUNTINGTON, WV 25704-1952
(304) 429-0070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52274
WV
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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