Individual
KATHERINE RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 6TH AVE, SOUTH CHARLESTON, WV 25303-1269
(304) 757-9333
Mailing address
196 RIVER RD, WALTON, WV 25286-9102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38520
WV
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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