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Misty M Shrader

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

NPI number1245080415
StatusActive
Last updated in NPPESMar 22, 2024

Details

NPI
1245080415
Entity type
Individual (NPI-1)
Name
Misty M Shrader
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 22, 2024
Certification date
Mar 21, 2024
Last updated
Mar 22, 2024

Taxonomy and licenses

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

Practice location

66 S Crim Ave
Belington, WV 26250

Phone 304-823-0223

Mailing address

Po Box 92
Belington, WV 26250-0092

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