Individual
SUSAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 5TH AVE STE 4, HUNTINGTON, WV 25701-1907
(304) 733-9678
Mailing address
555 5TH AVE STE 4, HUNTINGTON, WV 25701-1907
(304) 733-9678
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
32769
WV
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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