Individual
GINA RENAE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN,
Contact information
Practice address
113 MUSICK LN, BEAVER, WV 25813-9193
(304) 719-3488
Mailing address
113 MUSICK LN, BEAVER, WV 25813-9193
(304) 719-3488
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49515
WV
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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