Individual
STAYSHA SHAE QUENTRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
37 BEECHWOOD AVE, WINFIELD, WV 25213-9542
(304) 444-2461
Mailing address
37 BEECHWOOD AVE, WINFIELD, WV 25213-9542
(304) 444-2461
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
08/19/2024
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