Individual
MR. RICHARD JAMES GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC
Contact information
Practice address
448 LEONARD AVE, FAIRMONT, WV 26554-3843
(304) 296-1731
Mailing address
6204 STONEWOOD DR, MORGANTOWN, WV 26505-3871
(215) 740-2208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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