Most Relevant Information
Provider Data
| NPI Number: | 1003415878 |
| Provider Name: | SHA MARIE YOHO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/22/2020 |
| Last Updated: | 06/24/2021 |
Provider Practice Location
87 SWIERKOS DR
MOUNDSVILLE
WV
260414209
Practice Location Phone/Fax
| Phone: | 3048432306 |
| Fax: |
Provider Mailing Location
107 W MAIN ST
PADEN CITY
WV
261591425
Provider Mailing Phone/Fax
| Phone: | 3048432306 |
| Fax: |