Individual
EDNA BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
386 DEEPWOODS TRL, ROCK, WV 24747-9141
(304) 921-4888
Mailing address
386 DEEPWOODS TRL, ROCK, WV 24747-9141
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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