Individual
SANDRA GREAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 COUNTY LINE RD, BRIDGEPORT, WV 26330-7777
(304) 842-9291
Mailing address
163 COUNTY LINE RD, BRIDGEPORT, WV 26330-7777
(304) 842-9291
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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