Individual
JEANETTE R LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 RED OAK LN, ELKINS, WV 26241-9582
(304) 621-3826
Mailing address
165 RED OAK LN, ELKINS, WV 26241-9582
(304) 621-3826
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/23/2021
Last updated
07/21/2025
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