Individual
JESSICA SIEGLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7838 WV-10, SALT ROCK, WV 25559-2555
(304) 942-5303
(304) 691-1037
Mailing address
RR 1 BOX 403, SALT ROCK, WV 25559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38835
WV
Other
Enumeration date
10/20/2022
Last updated
11/07/2022
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