Individual
JAMES RAYMOND MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 OLD PLUTO RD, SHADY SPRING, WV 25918-8143
(304) 445-1563
Mailing address
251 OLD PLUTO RD, SHADY SPRING, WV 25918-8143
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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