Individual
JAN DEARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2272 N PLEASANTS HWY, SAINT MARYS, WV 26170-4993
(304) 684-2215
Mailing address
2272 N PLEASANTS HWY, SAINT MARYS, WV 26170-4993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73939
WV
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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