Individual
CHANDA HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 RITTER DR, GLEN MORGAN, WV 25813-7709
(304) 255-1300
(304) 255-5391
Mailing address
703 RITTER DR, PO BOX 2028, GLEN MORGAN, WV 25813-7709
(304) 255-1300
(304) 255-5391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01764
WV
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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