Individual
SHELVIA JEAN MANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 BUFFALO CREEK RD, HUNTINGTON, WV 25704-9642
(304) 690-3844
Mailing address
106 BUFFALO CREEK RD, HUNTINGTON, WV 25704-9642
(304) 690-3844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
044405
WV
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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