Individual
CHARLEA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7412 PARKERSBURG RD, SANDYVILLE, WV 25275-7508
(304) 273-3511
Mailing address
2507 9TH AVE, PARKERSBURG, WV 26101-5855
(304) 485-6513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82460
WV
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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