Individual
DONNA MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 STUART ST, CHARLESTON, WV 25302-1326
(304) 989-3338
Mailing address
1599 2ND AVE, CHARLESTON, WV 25387-2514
(304) 344-0586
(304) 344-0587
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E619262
DRIVER LICENSE
WV
Enumeration date
12/15/2020
Last updated
12/15/2020
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