Individual
GIANNA FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MAPLE HILL AVE STE 1, PETERSBURG, WV 26847-1547
(307) 257-9298
Mailing address
330 S MAIN ST, MOOREFIELD, WV 26836-1283
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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