Individual
JEREMY CANTERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 UPPER OVER LOOK DRIVE, HURRICANE, WV 25526
(304) 206-0616
Mailing address
133 UPPER OVER LOOK DRIVE, HURRICANE, WV 25526
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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