Individual
CAROLYN ZICKEFOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3354 HALL RD, BUCKHANNON, WV 26201-1311
(304) 412-3990
Mailing address
3354 HALL RD, BUCKHANNON, WV 26201-1311
(304) 412-3990
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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