Individual
TERESA ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 VINE CIR, MARTINSBURG, WV 25405-6295
(304) 263-3689
Mailing address
208 VINE CIR, MARTINSBURG, WV 25405-6295
(304) 263-3689
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP46237
MD
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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