Individual
JADE LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MELLON ST, BECKLEY, WV 25801-3536
(304) 255-5263
Mailing address
112 MELLON ST, BECKLEY, WV 25801-3536
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
68955
WV
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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