MARISA JADE SHUPE

BECKLEY, WV
NPI1205504776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-08-31
Last Update Date2021-08-31
Business Address
MARISA JADE SHUPE
307 WYOMING AVE
BECKLEY, WV 25801-3434
Phone number: 276-220-6817
Mailing Address
MARISA JADE SHUPE
307 WYOMING AVE
BECKLEY, WV 25801-3434
Phone number: 276-220-6817