Individual
SHIRLEY SHORTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40112 MIDLAND TRL, RAINELLE, WV 25962-6512
(304) 661-4866
Mailing address
40112 MIDLAND TRL, RAINELLE, WV 25962-6512
(304) 661-4866
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
WV
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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