Individual
ELISE LEIA HONAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
PO BOX 194, MAC ARTHUR, WV 25873-0194
(304) 673-2768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27598
WV
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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