Individual
REBECCA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BROOKRIDGE DR, SHADY SPRING, WV 25918-8587
(304) 222-5916
Mailing address
215 BROOKRIDGE DR, SHADY SPRING, WV 25918-8587
(304) 222-5916
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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