Individual
SHYANN ELIZABETH JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
369 3RD AVE, RIPLEY, WV 25271-1535
(304) 786-7418
Mailing address
PO BOX 369, RIPLEY, WV 25271-0369
(304) 786-7418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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