Individual
SUSAN LEANN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10434 SENECA TRL S, LEWISBURG, WV 24901-1586
(304) 645-1706
Mailing address
263 DOUG CRAFT RD, HINTON, WV 25951-6302
(304) 575-5956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110653
WV
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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