TIFFANY SHOCK

MOUNT NEBO, WV
NPI1386233575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
TIFFANY SHOCK
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
Mailing Address
TIFFANY SHOCK
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334