Individual
HOLLY DEANNA CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2673 DAVISSON RUN RD, CLARKSBURG, WV 26301-6838
(304) 624-2424
Mailing address
2673 DAVISSON RUN RD, CLARKSBURG, WV 26301-6838
(304) 624-2424
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
75607
WV
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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