Individual
FREDERICKA DAWN COTTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 DEE ST, BUCKHANNON, WV 26201-4082
(304) 704-1758
Mailing address
108 DEE ST, BUCKHANNON, WV 26201-4082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20646
WV
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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