Individual
AUTUMN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N SPRING ST, BUCKHANNON, WV 26201-2720
(304) 472-0395
(304) 471-2488
Mailing address
699 GRASS RUN RD, NORMANTOWN, WV 25267-8212
(304) 761-8784
(304) 462-9075
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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