Individual
TABITHA DANNIELLE HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 NORTH, WV-2, NEW MARTINSVILLE, WV 26155
(304) 455-5515
Mailing address
21 ROSS ST, NEW MARTINSVILLE, WV 26155-2866
(304) 771-5052
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
85342
WV
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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