Individual
VICTORIA ANN MILBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
215 CORIANDER WAY, BUNKER HILL, WV 25413-3625
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
67544
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002615826
—
WV
Enumeration date
05/20/2019
Last updated
06/11/2019
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