Individual
JUDITH A SMOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2936 DUSK CAMP RUN RD, SAND FORK, WV 26430-8105
(304) 462-4174
Mailing address
2936 DUSK CAMP RUN RD, SAND FORK, WV 26430-8105
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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