Individual
ANTHONY WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 CLARA ANN RD, LAVALETTE, WV 25535
(304) 730-9243
Mailing address
PO BOX 1104, LAVALETTE, WV 25535-1104
(304) 730-9243
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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