Individual
PENELOPE S BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 CHESTNUT ST, PROCTORVILLE, OH 45669-2005
(740) 646-4495
Mailing address
97 CHESTNUT ST, PROCTORVILLE, OH 45669-2005
(740) 646-4495
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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