Individual
REBA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
299 1/2 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2243
(304) 455-0350
(304) 455-1512
Mailing address
1429 DUDLEY HILL RD, MIDDLEBOURNE, WV 26149-7803
(304) 313-3047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30506
WV
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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