Individual
SHATONA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 SUMMERSVILLE LAKE RD, MOUNT NEBO, WV 26679-9203
(304) 883-2334
Mailing address
785 SUMMERSVILLE LAKE RD, MOUNT NEBO, WV 26679-9203
(304) 883-2334
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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