Individual
KRISTEN ANN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 LOCUST ST, PRINCETON, WV 24740-3625
(304) 425-1212
Mailing address
307 MORNING STAR ST, PRINCETON, WV 24739-3651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32768
WV
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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