Individual
LAILAH MARIE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4610 KANAWHA AVE SW STE 200, SOUTH CHARLESTON, WV 25309-1367
(304) 205-7992
(304) 205-7739
Mailing address
4610 KANAWHA AVE SW STE 200, SOUTH CHARLESTON, WV 25309-1367
(304) 205-7992
(304) 205-7739
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01350
WV
Other
Enumeration date
08/12/2009
Last updated
10/12/2017
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