Individual
CARRIE SHATTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
530 SPARROW LN, ELKVIEW, WV 25071-9589
(304) 395-0650
Mailing address
530 SPARROW LN, ELKVIEW, WV 25071-9589
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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