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Shirley Jean Potts

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

NPI number1689336331
StatusActive
Last updated in NPPESOct 11, 2021

Details

NPI
1689336331
Entity type
Individual (NPI-1)
Name
Shirley Jean Potts
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 11, 2021
Certification date
Oct 11, 2021
Last updated
Oct 11, 2021

Taxonomy and licenses

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

Practice location

235 S Maple Ave
Clarksburg, WV 26301-3033

Phone 540-505-9117

Mailing address

235 S Maple Ave
Clarksburg, WV 26301-3033

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