Individual
MARY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 STRAIGHT ST, EVANS, WV 25241-8188
(304) 372-5973
Mailing address
96 STRAIGHT ST, EVANS, WV 25241-8188
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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