Individual
MARY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 TURKEY FOOT RD, MINERAL WELLS, WV 26150-8509
(304) 488-1956
Mailing address
1106 TURKEY FOOT RD, MINERAL WELLS, WV 26150-8509
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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