Individual
DANIEL QUISENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 PIGEON ROOST RD, CHAPMANVILLE, WV 25508
(304) 550-4419
Mailing address
113 BLUE RIDGE RD, CHAPMANVILLE, WV 25508-5822
(304) 550-4419
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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