Individual
JEFFREY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 TETRICK RD APT 101, SHINNSTON, WV 26431-7004
(304) 627-0919
Mailing address
615 TETRICK RD APT 101, SHINNSTON, WV 26431-7004
(304) 627-0919
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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