Individual
SHANNON MARIE CREAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCCE
Contact information
Practice address
105 TRIMBLE AVE APT 1, MARTINSBURG, WV 25404-3819
(304) 995-8104
Mailing address
105 TRIMBLE AVE APT 1, MARTINSBURG, WV 25404-3819
(304) 995-8104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21453
WV
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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