Individual
VALERIE LOUISE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4928 FORD HILL ROAD, AUGUSTA, WV 26704
(304) 851-4459
Mailing address
4928 FORD HILL ROAD, AUGUSTA, WV 26704
(304) 851-4459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002088630
VA
164W00000X
Licensed Practical Nurse
Primary
25435
WV
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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