Individual
MYRA KAY PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 346-1860
Mailing address
185 ELK VILLAGE DR APT 113, ELKVIEW, WV 25071-0016
(304) 541-4919
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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