Individual
PATRICIA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 HUFF YOUNG ROAD, LOST CREEK, WV 26385
(304) 745-5504
Mailing address
655 HUFF YOUNG ROAD, LOST CREEK, WV 26385
(304) 745-5504
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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