Individual
RALPH A CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 CHURCH LN, RONCEVERTE, WV 24970-8082
(304) 647-9960
Mailing address
321 CHURCH LN, RONCEVERTE, WV 24970-8082
(304) 647-9960
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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