Individual
SHANNON MAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 UTT DR, GRAFTON, WV 26354-7449
(304) 363-7323
(304) 366-2483
Mailing address
601 LOCUST AVE, FAIRMONT, WV 26554-4721
(304) 363-7323
(304) 366-2483
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
63359
WV
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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