Individual
KATRINA C EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N QUEEN ST, MARTINSBURG, WV 25401-3311
(305) 202-4854
(304) 305-1597
Mailing address
21 COMPASSION DR, MARTINSBURG, WV 25405-3056
(304) 886-6921
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31384
WV
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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