Individual
CONNIE JO NORTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1564 BROOKS MOUNTAIN RD, HINTON, WV 25951-5759
(304) 575-5464
Mailing address
1564 BROOKS MOUNTAIN RD, HINTON, WV 25951-5759
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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