Individual
LAURA SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BOTLEY LN APT 5, HURRICANE, WV 25526-7382
(304) 615-0437
Mailing address
109 BOTLEY LN APT 5, HURRICANE, WV 25526-7382
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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