Individual
BERNELL FRESHWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 COLUMBUS WAY, WEIRTON, WV 26062-2022
(304) 914-3084
Mailing address
117 COLUMBUS WAY, WEIRTON, WV 26062-2022
(304) 914-3084
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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