Individual
ANGELA SUE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 S MAIN ST APT 201, WEBSTER SPRINGS, WV 26288-1183
(304) 644-3701
Mailing address
PO BOX 122, WEBSTER SPRINGS, WV 26288-0122
(304) 644-3701
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
WV
Other
Enumeration date
11/30/2020
Last updated
12/17/2020
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