Individual
MRS. SHARON F. MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-4329
Mailing address
117 WINCHESTER DR, CULLODEN, WV 25510-9660
(304) 766-4329
(304) 766-3672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
04
WV
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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