Individual
VERA KIRICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 OLD MILL RD, MARTINSBURG, WV 25401-9219
(304) 263-5680
Mailing address
208 OLD MILL RD, MARTINSBURG, WV 25401-9219
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001247959
VA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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