TY SHAWN BERKLEY

CHARLESTON, WV
NPI1700478948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-09
Last Update Date2021-02-09
Business Address
TY SHAWN BERKLEY
727 CANTERBURY DR
CHARLESTON, WV 25314-1768
Phone number: 304-747-0721
Mailing Address
TY SHAWN BERKLEY
727 CANTERBURY DR
CHARLESTON, WV 25314-1768
Phone number: 304-747-0721
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