SHELBY NICOLE BURRUSS

MOUNT NEBO, WV
NPI1124860184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: WV  100272622)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
SHELBY NICOLE BURRUSS
759 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-640-6417
Mailing Address
SHELBY NICOLE BURRUSS
759 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-640-6417