Shane Michael Ammons
NPI #1457179954 in Montgomery, West Virginia
Provider Information
- NPI Number
- 1457179954
- Entity Type
- Individual
- Name
- Shane Michael Ammons
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 2, 2024
- Last Updated
- Oct 2, 2024
Practice Location
- Address
- 1005 1ST AVE
- City
- Montgomery
- State
- West Virginia
- ZIP Code
- 25136-2377
- Phone
- (304) 989-3617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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