Individual
REBECCA BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 MAIN HEWETT CREEK ROAD, LAKE, WV 25121
(304) 752-8513
Mailing address
PO BOX 248, LAKE, WV 25121-0248
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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