Individual
RAVEN MARBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PINE STREET, CAROLINA, WV 26563
(304) 612-0815
Mailing address
PO BOX 1714, FAIRMONT, WV 26555-1714
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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