Individual
SUSAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9306 LITTLE KANAWHA PKWY, CRESTON, WV 26141-7534
(304) 275-3158
Mailing address
PO BOX 370, ELIZABETH, WV 26143-0370
(304) 275-3158
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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