Individual
MS. ALICE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-6541
(304) 583-6018
Mailing address
600 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-6541
(304) 583-6018
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
0577
WV
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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