Individual
MRS. MIRIAM THERESA DEINHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 EAST COVE AVE, WHEELING, WV 26003
(304) 242-0770
(304) 242-3647
Mailing address
7 EAST COVE AVE, WHEELING, WV 26003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
09401
WV
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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