SHAUNTAE LANE

BLUEFIELD, WV
NPI1679446272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-09-29
Last Update Date2025-09-29
Business Address
SHAUNTAE LANE
912 PEARL ST
BLUEFIELD, WV 24701-4542
Phone number: 304-425-7111
Mailing Address
SHAUNTAE LANE
912 PEARL ST
BLUEFIELD, WV 24701-4542
Phone number: 304-425-7111
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