Individual
JAMAICA GROENEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
Mailing address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2246
WV
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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