MRS. Keisha Tamara Shaw
NPI #1477815231 in Barboursville, West Virginia
Provider Information
- NPI Number
- 1477815231
- Entity Type
- Individual
- Name
- MRS. Keisha Tamara Shaw
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jun 7, 2012
- Last Updated
- Jun 7, 2012
Practice Location
- Address
- 220 PARK AVE
- City
- Barboursville
- State
- West Virginia
- ZIP Code
- 25504-1544
- Phone
- (304) 360-6482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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