Individual
SHIRLEY JANE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCOB,CTTS,CLC
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3948
(304) 636-0672
Mailing address
812 GORMAN AVE OFC, ELKINS, WV 26241-3181
(304) 637-3948
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
44175
WV
405300000X
Prevention Professional
44175
WV
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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