Individual
MISTY HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10434 SENECA TRL S, LEWISBURG, WV 24901-1586
(304) 645-1706
Mailing address
10434 SENECA TRL S, LEWISBURG, WV 24901-1586
(304) 645-1706
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31614
WV
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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