SHANNON CARISSA WARD

CHARLESTON, WV
NPI1770301228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
SHANNON CARISSA WARD
4510 PENNSYLVANIA AVE STE C
CHARLESTON, WV 25302-4835
Phone number: 304-965-9081
Mailing Address
SHANNON CARISSA WARD
5439 ELK RIVER RD N
ELKVIEW, WV 25071-9737
Phone number: 304-384-1599