Individual
KATRINA R LANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 MORDINGTON AVE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414-1693
(304) 267-3595
(130) 426-7359
Mailing address
110 MORDINGTON AVE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414-1693
(304) 267-3595
(130) 426-7359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64879
WV
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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