Individual
ANGELA MYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 CEDAR CREST DR, RIPLEY, WV 25271-1605
(910) 689-6375
Mailing address
407 CEDAR CREST DR, RIPLEY, WV 25271-1605
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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