Individual
SHANNON SOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049A TRENUM DR, KEYSER, WV 26726-9467
(540) 333-1094
Mailing address
1049A TRENUM DR, KEYSER, WV 26726-9467
(540) 333-1094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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