Individual
STACY ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 KEYSER STREET, WAYNE, WV 25570
(304) 544-8237
Mailing address
PO BOX 1137, WAYNE, WV 25570-1137
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
59488
WV
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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