Individual
TARA C WIMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
397 MID ATLANTIC PKWY STE 1, MARTINSBURG, WV 25404-7468
(304) 267-3997
(304) 267-5882
Mailing address
800 MARQUETTE DR, MARTINSBURG, WV 25401-7399
(304) 726-2568
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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