Individual
JUSTIN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5071 CAMPBELLS CREEK DR, CHARLESTON, WV 25306-9098
(304) 688-4593
Mailing address
5071 CAMPBELLS CREEK DR, CHARLESTON, WV 25306-9098
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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