Individual
MRS. RACHELLE LYLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 TERRACE ST STE 105, HINTON, WV 25951-9768
(304) 466-2933
Mailing address
142 PETERS COURT, COOL RIDGE, WV 25825
(304) 923-4409
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01842
WV
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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