SHANNON ELLIS

MORGANTOWN, WV
NPI1487225744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-07-08
Last Update Date2021-07-08
Business Address
SHANNON ELLIS
382 BROADWAY AVE
MORGANTOWN, WV 26505-0364
Phone number: 304-599-7743
Mailing Address
SHANNON ELLIS
382 BROADWAY AVE
MORGANTOWN, WV 26505-0364
Phone number: 304-599-7743
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