Individual
MARTHA JANE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 MAZE PLZ, ELIZABETH, WV 26143-5127
(304) 598-6084
Mailing address
69 MAZE PLZ, ELIZABETH, WV 26143-5127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34246
WV
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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