Individual
HALEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 KYLE SUB DIVISION DR, NETTIE, WV 26681-4183
(304) 618-5050
Mailing address
120 KYLE SUB DIVISION DR, NETTIE, WV 26681-4183
(304) 618-5050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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