Individual
REBECCA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 LAUREL LICK RD, WESTON, WV 26452-7517
(304) 840-6032
Mailing address
93 ROSE AVE, CLARKSBURG, WV 26301-1764
(304) 840-6032
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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