Individual
SHARON MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 BRAXTON ST, GASSAWAY, WV 26624-1107
(304) 644-6178
Mailing address
601 BRAXTON ST, GASSAWAY, WV 26624-1107
(304) 644-6178
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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