Individual
DANETT RENEA ERLEWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 OAKHURST DR, SOUTH CHARLESTON, WV 25309-8935
(304) 356-8364
Mailing address
PO BOX 152, WINFIELD, WV 25213-0152
(304) 356-8364
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004-1568
WV
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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