Individual
ANGELLICA SHANHOLTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GEORGE ST STE J, BECKLEY, WV 25801-2648
(304) 929-2678
Mailing address
3123 FLAT TOP RD, GHENT, WV 25843-9355
(304) 575-5611
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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