Individual
MRS. TERESA DARLENE HUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DME
Contact information
Practice address
286 PINE ST, SHADY SPRING, WV 25918
(304) 860-1446
(304) 860-1447
Mailing address
286 PINE ST, SHADY SPRING, WV 25918
(304) 860-1446
(304) 860-1447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
T36441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014286
—
WV
Enumeration date
11/19/2008
Last updated
04/23/2010
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