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Shannon Marie Brown

Technician, Personal Care Attendant in New Martinsville, WV. Individual provider (NPI-1).

NPI number1174282925
StatusActive
Last updated in NPPESDec 9, 2021

Details

NPI
1174282925
Entity type
Individual (NPI-1)
Name
Shannon Marie Brown
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2021
Certification date
Dec 9, 2021
Last updated
Dec 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

145 Paducah Dr
New Martinsville, WV 26155-2709

Phone 304-455-3220

Mailing address

145 Paducah Dr
New Martinsville, WV 26155-2709

Phone 304-455-3220

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