Individual
MRS. TONYA CARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ASSOCIATION DR, CHARLESTON, WV 25311-1272
(130) 434-3660
Mailing address
800 ASSOCIATION DR, CHARLESTON, WV 25311-1272
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
001427
WV
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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