Individual
MRS. DIANA BOWERS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 WALNUT ST, PENDLETON COUNTY BOARD OF EDUCATION, FRANKLIN, WV 26807-0888
(304) 358-2207
(304) 358-2936
Mailing address
POST OFFICE BOX 6, SUGAR GROVER, WV 26815
(304) 249-5172
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165858000
—
WV
Enumeration date
11/07/2007
Last updated
11/07/2007
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