Individual
DEBRA WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
946 LEFT FORK BIG HURRICANE RD, FORT GAY, WV 25514-7226
(304) 416-2390
Mailing address
946 LEFT FORK BIG HURRICANE RD, FORT GAY, WV 25514-7226
(304) 416-2390
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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