Individual
SYDNEY RAE PAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 663-3231
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 663-3231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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