Individual
MRS. ALISHA JUHREE MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2300 MACCORKLE AVE SE, CHARLESTON, WV 25304-1045
(304) 896-1322
Mailing address
PO BOX 415, LENORE, WV 25676-0415
(304) 393-6118
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IN0006227
WV
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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