Shane Eugene Riley
NPI #1871192526 in Gerrardstown, West Virginia
Provider Information
- NPI Number
- 1871192526
- Entity Type
- Individual
- Name
- Shane Eugene Riley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 5233 APPLE HARVEST DR
- City
- Gerrardstown
- State
- West Virginia
- ZIP Code
- 25420-4136
- Phone
- (304) 821-5725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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