Individual
JANA WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
875 S MINERAL ST, KEYSER, WV 26726-2860
(304) 788-5467
(304) 788-6363
Mailing address
875 S MINERAL ST, KEYSER, WV 26726-2860
(304) 788-5467
(304) 788-6363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76757
WV
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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