Individual
LISA HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 72ND ST, KOPPERSTON, WV 24854
(304) 923-9340
Mailing address
PO BOX 523, OCEANA, WV 24870-0523
(304) 923-9340
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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