Individual
SHELLY HERTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
SENIOR MONONGALIANS, 5000 GREENBAG RD, MORGANTOWN, WV 26507
(304) 296-9812
Mailing address
306 MARCH LN, MORGANTOWN, WV 26508-4244
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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