Individual
BEVERLY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SYCAMORE AVE, MOUNDSVILLE, WV 26041-1242
(304) 215-8719
Mailing address
109 SYCAMORE AVE, MOUNDSVILLE, WV 26041-1242
(304) 215-8719
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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