Individual
HEATHER DAWN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 BOYLARD RD, MOATSVILLE, WV 26405-8544
(304) 838-8617
Mailing address
244 BOYLARD RD, MOATSVILLE, WV 26405-8544
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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