SHANNON BRACKENRIDGE

CRAWLEY, WV
NPI1497351902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
SHANNON BRACKENRIDGE
530 GRAY GABLES RD
CRAWLEY, WV 24931-9738
Phone number: 304-392-6270
Mailing Address
SHANNON BRACKENRIDGE
720 DUO RD
RUPERT, WV 25984-6029
Phone number:
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