Provider First Line Business Practice Location Address:
301 N KING ST.
Provider Second Line Business Practice Location Address:
SHEPHERD UNIVERSITY, SCHOOL OF NURSING EOB ROOM 204
Provider Business Practice Location Address City Name:
SHEPHERDSTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-876-5282
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2024