Individual
LINDA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 CROWFIELD CIR, LEWISBURG, WV 24901-2257
(304) 419-3065
Mailing address
531 CROWFIELD CIR, LEWISBURG, WV 24901-2257
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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