Individual
VIRGINIA HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 CANYON RANCH LN, TALLMANSVILLE, WV 26237-8071
(304) 997-2287
Mailing address
19 CANYON RANCH LN, TALLMANSVILLE, WV 26237-8071
(304) 997-2287
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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