Individual
BECKY WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N LEWIS ST, GLENVILLE, WV 26351-1319
(304) 462-5761
(304) 462-8239
Mailing address
720 N LEWIS ST, GLENVILLE, WV 26351-1319
(304) 462-5761
(304) 462-8239
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
About Stedi
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