Individual
JESSIE L HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1246 PANTHER FORK RD, CRAWFORD, WV 26343-8555
(304) 924-6204
Mailing address
1246 PANTHER FORK RD, CRAWFORD, WV 26343-8555
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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