Individual
CONNIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 LUCKY LN, ALKOL, WV 25501-9765
(304) 524-7114
Mailing address
265 LUCKY LN, ALKOL, WV 25501-9765
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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