Individual
CONNIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 WARD RD, NETTIE, WV 26681-4566
(304) 651-7809
Mailing address
4810 WARD RD, NETTIE, WV 26681-4566
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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