Individual
THELMA M CRAGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11392 GREENVILLE RD, BALLARD, WV 24918-5097
(304) 573-1318
Mailing address
11392 GREENVILLE RD, BALLARD, WV 24918-5097
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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