Individual
SHANDALE LAUREN MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5447 MAPLE LN STE A, FAYETTEVILLE, WV 25840-6872
(304) 574-1141
(304) 574-1151
Mailing address
PO BOX 326, DEEP WATER, WV 25057-0326
(304) 719-8429
(304) 574-1151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113151
WV
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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