Individual
PEGGYDAWN JEAN PETRICE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 1/2 W MAIN ST APT 5, ELKINS, WV 26241-3287
(681) 298-2744
Mailing address
605 1/2 W MAIN ST APT 5, ELKINS, WV 26241-3287
(681) 298-2744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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