Individual
KRISTINA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 RUTH TRACE HOLW, WILLIAMSON, WV 25661-7475
(304) 475-8022
Mailing address
PO BOX 593, LENORE, WV 25676-0593
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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