Individual
MRS. DAWN RENEE CORKREAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
829 FAIRMONT RD, SUITE 103, WESTOVER, WV 26501-3892
(304) 685-0370
Mailing address
23 SHERWOOD DR, MORGANTOWN, WV 26505-5327
(304) 685-0370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2013-3116
WV
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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