Individual
MRS. MARY ELIZABETH SANGREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
342 CAMP BRANCH RD, BRANCHLAND, WV 25506
(304) 778-3119
Mailing address
342 CAMP BRANCH RD, BRANCHLAND, WV 25506
(304) 778-3119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29882
WV
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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