Individual
MRS. CONSTANCE C GOTTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
320 W MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-1664
Mailing address
320 W MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-1664
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
711242
WV
Other
Enumeration date
06/08/2006
Last updated
09/03/2009
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