Individual
JERALEE MARIE EMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
859 VALLEY PIKE DR, SAINT ALBANS, WV 25177-3847
(681) 205-1805
Mailing address
1206 QUARRIER ST, CHARLESTON, WV 25301
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
WV
Enumeration date
11/03/2022
Last updated
11/03/2022
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