Individual
CHARITY CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 COURTHOUSE RD STE 301A, PRINCETON, WV 24740-0059
(304) 325-3378
Mailing address
150 COURTHOUSE RD STE 301A, PRINCETON, WV 24740-0059
(304) 325-3378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33300
WV
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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