Individual
MARY THORNBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 LYNN CAMP RD, PULLMAN, WV 26421-8069
(304) 659-3466
Mailing address
5205 LYNN CAMP RD, PULLMAN, WV 26421-8069
(304) 659-3466
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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