Individual
SIMON BSHARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 WALTERS RD, CHARLESTON, WV 25314-2014
(304) 881-7371
Mailing address
818 WALTERS RD, CHARLESTON, WV 25314-2014
(304) 881-7371
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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