Individual
EARNEST RAY HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 MAPLE ST, DURBIN, WV 26264-2001
(304) 456-5467
Mailing address
PO BOX 237, DURBIN, WV 26264-0237
(304) 456-5467
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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