Individual
LELIA WOLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 PRICE ST, FAIRMONT, WV 26554-9257
(304) 365-9421
Mailing address
1619 PRICE ST, FAIRMONT, WV 26554-9257
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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