Individual
ELLADEAN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 GEORGE WASHINGTON HWY, GRAFTON, WV 26354-8638
(304) 677-8922
Mailing address
2090 GEORGE WASHINGTON HWY, GRAFTON, WV 26354-8638
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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