Individual
CAROLEE CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2711
(304) 771-4756
Mailing address
635 MAPLE AVE, NEW MARTINSVILLE, WV 26155-1420
(304) 771-4756
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
73559
WV
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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