Individual
MARTHA ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 OLD MAIN DR, SUMMERSVILLE, WV 26651-1360
(304) 872-1421
Mailing address
246 RIDGEMONT DR, SUMMERSVILLE, WV 26651-1122
(304) 619-1764
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
58808
WV
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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