Individual
GRACE CATHERINE CLONCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 MONOGAHELA BLVD, MORGANTOWN, WV 26505
(304) 293-9868
Mailing address
3450 MONONGAHELA BLVD, MORGANTOWN, WV 26505-3043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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