Individual
JOHN SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
553 HAMON DRIVE, APT A, SCOTT DEPOT, WV 25560
(304) 993-6969
Mailing address
553 HAMON DRIVE, APT A, SCOTT DEPOT, WV 25560
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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