Individual
DASHELLE CONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 FRANK HAINES RD, PAW PAW, WV 25434-8859
(000) 000-0000
Mailing address
1003 FRANK HAINES RD, PAW PAW, WV 25434-8859
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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