Individual
LINZY E SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5323
(304) 293-8724
Mailing address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5323
(304) 923-8724
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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