SHANE COLIN CIUCCI

CHARLESTON, WV
NPI1215610191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-08
Last Update Date2025-10-22
Business Address
SHANE COLIN CIUCCI PA-C
501 MORRIS STREET
CHARLESTON, WV 25301
Phone number: 304-388-5432
Mailing Address
SHANE COLIN CIUCCI PA-C
400 ASSOCIATION DRIVE SUITE 102
CHARLESTON, WV 25311
Phone number: 304-760-7536