Individual
PAYDEN SURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 13TH ST, PARKERSBURG, WV 26101-4144
(304) 420-9663
Mailing address
1210 13TH ST, PARKERSBURG, WV 26101-4144
(304) 420-9663
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
86792
WV
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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