Individual
REBECCA SUE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8214 CLEAR FORK RD, DOROTHY, WV 25060-9678
(304) 854-1544
Mailing address
8214 CLEAR FORK RD, DOROTHY, WV 25060-9678
(304) 854-1544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34026
WV
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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