Individual
TINA KUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 DELRAY HEIGHTS CIR, DELRAY, WV 26714-4585
(304) 359-8881
Mailing address
1420 DELRAY HEIGHTS CIR, DELRAY, WV 26714-4585
(304) 359-8881
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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