Individual
CHARLES THOMAS ROWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 BLUE LANE, CLARKSBURG, WV 26301
(681) 296-3191
Mailing address
690 BLUE LANE, CLARKSBURG, WV 26301
(681) 296-3191
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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