Shasta R Corum, BS
NPI #1093439135 in Martinsburg, West Virginia
Provider Information
- NPI Number
- 1093439135
- Entity Type
- Individual
- Name
- Shasta R Corum, BS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BS
- Enumeration Date
- Oct 3, 2022
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 300 FOXCROFT AVE STE 307
- City
- Martinsburg
- State
- West Virginia
- ZIP Code
- 25401-5341
- Phone
- (703) 283-7002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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