Individual
SANDY SHALABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 ORCHARD DR, RAINELLE, WV 25962-1863
(681) 318-0358
Mailing address
139 ORCHARD DR, RAINELLE, WV 25962-1863
(681) 318-0358
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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