Individual
REGINA RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1489 DOGTOWN RD LOT 3, REEDSVILLE, WV 26547-9797
(304) 441-1969
Mailing address
1489 DOGTOWN RD LOT 3, REEDSVILLE, WV 26547-9797
(304) 441-1969
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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