Individual
ALEXIS E GILLENWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 GILLENWATER DR APT 201, YAWKEY, WV 25573-2000
(304) 549-9975
Mailing address
72 GILLENWATER DR APT 201, YAWKEY, WV 25573-2000
(304) 549-9975
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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