Individual
MS. CALLIE EARLIWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 SAND HILL RD, DALLAS, WV 26036-3073
(304) 547-5041
Mailing address
214 MIDDLE GRAVE CREEK RD, MOUNDSVILLE, WV 26041-6009
(304) 843-4400
(304) 843-5095
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
76201
WV
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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