Individual
MS. JENNIFER R STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 MAIN ST W, RIPLEY, WV 25271-1427
(304) 372-1010
(304) 372-4764
Mailing address
368 MAIN ST W, RIPLEY, WV 25271-1427
(304) 372-1010
(304) 372-4764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2077-2332
WV
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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