Individual
PEGGY LEE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 COTTONWOOD DR, BUCKHANNON, WV 26201-3940
(304) 460-6055
Mailing address
211 COTTONWOOD DR, BUCKHANNON, WV 26201-3940
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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