Individual
DEBORAH RECTENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 406, CHARLESTON, WV 25304-1223
(304) 388-3776
(304) 388-6481
Mailing address
3100 MACCORKLE AVE SE, SUITE 406, CHARLESTON, WV 25304-1223
(304) 388-3776
(304) 388-6481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24450
WV
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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