Most Relevant Information
Provider Data
| NPI Number: | 1003485152 |
| Provider Name: | SHAUNDA MARIE REED |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2021 |
| Last Updated: | 06/23/2021 |
Provider Practice Location
87 SWIERKOS DR
MOUNDSVILLE
WV
260414209
Practice Location Phone/Fax
| Phone: | 3048430910 |
| Fax: | 3048430912 |
Provider Mailing Location
3233 ORCHARD ST
WEIRTON
WV
260624626
Provider Mailing Phone/Fax
| Phone: | 3048430910 |
| Fax: | 3048430912 |