Shane Edward Bragg
Shane Edward Bragg is a Personal Care Attendant in Shady Spring, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1520 Irish Mtn RdShady Spring, WV 25918
Phone: (304) 222-1156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1548868474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2020 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 9, 2023 |
| Mailing address | Po Box 2091, Beaver, WV 25813-2091 |
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