Individual
ASHLEY DAWN VANNATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056
(304) 400-6620
Mailing address
3825 CRANE AVE, HUNTINGTON, WV 25705-1725
(681) 294-4326
(681) 378-6108
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000000
WV
Other
Enumeration date
12/07/2022
Last updated
10/07/2024
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