Individual
CINDY K STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 346-1860
Mailing address
300 ABBEYWOOD LN, SISSONVILLE, WV 25320-7413
(304) 644-1175
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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