Individual
ALYSHIA SHADAE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 MACCORKLE AVE SW STE F, SOUTH CHARLESTON, WV 25309-1365
(304) 346-9667
Mailing address
4825 MACCORKLE AVE SW STE F, SOUTH CHARLESTON, WV 25309-1365
(304) 346-9667
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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