Individual
JAMES JARRELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2614 FLAT TOP RD, COOL RIDGE, WV 25825
(304) 894-5345
Mailing address
2614 FLAT TOP RD, COOL RIDGE, WV 25825
(304) 894-5345
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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