Individual
MILDRED J SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 KANAWHA BLVD W, CHARLESTON, WV 25387-2537
(304) 344-3403
(304) 414-0157
Mailing address
1420 KANAWHA BLVD W, CHARLESTON, WV 25387-2537
(304) 344-3403
(304) 414-0157
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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