Individual
DIANE PREASKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 PAULSON AVE, RIDGELEY, WV 26753-7590
(304) 813-7071
Mailing address
97 PAULSON AVE, RIDGELEY, WV 26753-7590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75773
WV
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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