Individual
CRYSTAL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 OCONNOR ST, CLARKSBURG, WV 26301-2227
(304) 695-3139
Mailing address
RT 3 BOX 305, CLARKSBURG, WV 26301
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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