Individual
HOLLI LYNN RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 235-0026
Mailing address
PO BOX 373, LENORE, WV 25676-0373
(304) 928-5530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41839
WV
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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