Individual
CARRIE LYNN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TRACY WAY, CHARLESTON, WV 25311-1280
(304) 720-0205
Mailing address
5309 ALPINE DR, CHARLESTON, WV 25313-1603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109638
WV
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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