Individual
ALICE JEAN WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
103 W 5TH AVE, RANSON, WV 25438-1405
(304) 725-4044
Mailing address
61 FAMILY CEMETARY RD, KEARNEYSVILLE, WV 25430-2916
(304) 886-1456
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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