Individual
TESA NICOLE GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 E MAIN ST STE 302, BUCKHANNON, WV 26201-2910
(044) 736-8023
Mailing address
5609 POSSUM HOLLOW RD, MILL CREEK, WV 26280-5155
(304) 642-7624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96731
WV
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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