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Individual

REBEKAH UNDERWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PRSS

Contact information

Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 222-9674
Mailing address
1238 OLD CROW RD, BEAVER, WV 25813-9395
(304) 222-9674

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/27/2021
Last updated
06/22/2023
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