Individual
DUSTIN CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 MEADOW DREAM LN, NITRO, WV 25143-1086
(304) 741-3368
Mailing address
347 MEADOW DREAM LN, NITRO, WV 25143-1086
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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