Individual
MIA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 S 11TH ST, WEIRTON, WV 26062-3364
(304) 723-8045
Mailing address
156 S 11TH ST, WEIRTON, WV 26062-3364
(304) 723-8045
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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