Individual
TAMARA J HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 POWELL AVE, MORGANTOWN, WV 26505-6266
(304) 282-2408
Mailing address
PO BOX 1199, MORGANTOWN, WV 26507-1199
(304) 282-2408
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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