Individual
MRS. MARY H. BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
150 COURTHOUSE RD STE 301-B, PRINCETON, WV 24740-2450
(304) 425-0162
(304) 425-0163
Mailing address
2006 DEVONSHIRE CT, BLUEFIELD, WV 24701-1268
(304) 920-2767
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
726-136
WV
Other
Enumeration date
12/29/2011
Last updated
04/25/2023
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