Individual
ROSEMARY WILSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
104 GOOSE RUN LN, FAIRMONT, WV 26554-1310
(304) 203-1059
Mailing address
104 GOOSE RUN LN, FAIRMONT, WV 26554-1310
(304) 203-1059
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/12/2020
Last updated
10/10/2022
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