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Search › West Virginia › 374U00000X

Shannon Vasconcellos

NPI 1841895422 · on the registry since 2020

Practice

Address
105 Maplewood Dr
Fairmont, WV 26554
Phone
(304) 368-8733
Organisation at this address
Marion County Senior Citizens
Marion County Senior Citizens, Inc.
Marion County Senior Citizens, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia