Individual
HOLLY HAGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
H R1178 GROUNDING BRANCD, JOLO, WV 24850
(304) 967-6039
Mailing address
PO BOX 218, JOLO, WV 24850-0218
(304) 967-6039
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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