Individual
JOHNA PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 346-1860
Mailing address
2910 BELL CREEK RD, DIXIE, WV 25059-4107
(304) 719-2705
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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