Individual
STACY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 BRIDGET RD, MARTINSBURG, WV 25404-7129
(304) 820-7122
Mailing address
174 BRIDGET RD, MARTINSBURG, WV 25404-7129
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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