Individual
RAEGAN VORCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 647-6335
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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