Individual
JOHNNA PAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MCCALL RUN RD, MILL CREEK, WV 26280-1135
(304) 335-0561
Mailing address
27 MIDWAY LOOP, ELKINS, WV 26241-1373
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3747P1801X
WV
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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