Individual
PATRICIA SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
699 STATTON STREET, LOGAN, WV 25601
(304) 752-6868
Mailing address
PO BOX 123, MAN, WV 25635-0123
(681) 352-4252
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
WV
Other
Enumeration date
12/10/2020
Last updated
12/11/2020
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