Individual
HAILEE PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
33 ESQUIRE AVE, LOGAN, WV 25601-5012
(304) 993-9348
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41304
WV
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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