Individual
BRENDA SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 697-0022
Mailing address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 697-0022
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
00000
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
WV
Enumeration date
01/02/2023
Last updated
01/02/2023
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