Individual
AVIGAIL RADABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 MONT CHATEAU RD, MORGANTOWN, WV 26508-8078
(304) 290-2937
Mailing address
160 MONT CHATEAU RD, MORGANTOWN, WV 26508-8078
(304) 290-2937
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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