Individual
SHONDDA CRISTAE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HRESAN BLVD, FAYETTEVILLE, WV 25840-1333
(304) 574-0770
Mailing address
8824 GATEWOOD RD, FAYETTEVILLE, WV 25840-7204
(681) 268-2009
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
03/20/2023
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