Individual
PEGGY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BORDEAUX LANE HURRICANE, PUTMAN, WV 25526
(304) 410-9188
Mailing address
PO BOX 391, BOOMER, WV 25031-0391
(304) 410-9188
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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