Individual
DAVID PELLEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8121 WOODLAND AVE, STONEWOOD, WV 26301-8137
(304) 629-2261
Mailing address
52 WILLOWCREST LN, MOUNT CLARE, WV 26408-7341
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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