Individual
DONNA HACK-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 PHILLIPS RIDGE RD, FRENCH CREEK, WV 26218-2363
(304) 516-3422
Mailing address
158 PHILLIPS RIDGE RD, FRENCH CREEK, WV 26218-2363
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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