Individual
CHRISTINE LEE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4816 PENNSYLVANIA AVE SW, CHARLESTON, WV 25309-1337
(304) 415-3855
Mailing address
4816 PENNSYLVANIA AVE SW, CHARLESTON, WV 25309-1337
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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