Individual
CORRIE LYN RUNNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BLACK BERRY LN, RAVENSWOOD, WV 26164-6096
(304) 761-8592
Mailing address
225 BLACK BERRY LN, RAVENSWOOD, WV 26164-6096
(304) 761-8592
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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