Individual
TINA PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 E B SAUNDERS WAY, CLARKSBURG, WV 26301-3712
(304) 476-9562
Mailing address
416 E B SAUNDERS WAY, CLARKSBURG, WV 26301-3712
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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