Individual
MARY SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 SPRING AVE, MOOREFIELD, WV 26836-1036
(304) 530-2256
(304) 530-6989
Mailing address
PO BOX 632, MOOREFIELD, WV 26836-0632
(304) 530-2256
(304) 530-6989
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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