Individual
JAMES PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 KAYO LN, DANIELS, WV 25832-9320
(304) 253-2801
Mailing address
PO BOX 798, DANIELS, WV 25832-0798
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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