Individual
PATRICIA L RODEHEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2164 CUZZART MOUNTAIN DALE RD, BRUCETON MILLS, WV 26525-5842
(304) 379-6503
Mailing address
2164 CUZZART MOUNTAIN DALE RD, BRUCETON MILLS, WV 26525-5842
(304) 379-6503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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