Individual
MR. JAMES DEARIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC-R
Contact information
Practice address
410 NEVILLE ST, BECKLEY, WV 25801-4511
(304) 929-1518
Mailing address
410 NEVILLE ST, BECKLEY, WV 25801-4511
(304) 614-3389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001231
WV
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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