Individual
MS. SALLYE A PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 FIRST AVENUE, HUNTINGTON, WV 25702
(304) 736-6126
(304) 736-1531
Mailing address
P.O. BOX 515, BARBOURSVILLE, WV 25504
(304) 736-6126
(304) 736-1531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3810008043
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008043
—
WV
Enumeration date
05/02/2007
Last updated
11/08/2007
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