Individual
TAMMY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 COONTZ AVE, BELINGTON, WV 26250-9416
(304) 614-7217
Mailing address
168 COONTZ AVE, BELINGTON, WV 26250-9416
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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