Individual
LENA M BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
357 SLEEPY HOLLOW LN, WALLBACK, WV 25285-9233
(304) 587-2135
Mailing address
357 SLEEPY HOLLOW LN, WALLBACK, WV 25285-9233
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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