Individual
AMANDA CHEYENNE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 EDISON ST, FAIRMONT, WV 26554-1918
(681) 443-0607
Mailing address
66 EDISON ST, FAIRMONT, WV 26554-1918
(681) 443-0607
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WV
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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