Individual
BROOKLYN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
644 S 5TH ST, CLARKSBURG, WV 26301-3656
(304) 842-0200
Mailing address
644 S 5TH ST, CLARKSBURG, WV 26301-3656
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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