Individual
BETTY ROLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N SPRING ST, BUCKHANNON, WV 26201-2720
(304) 472-0395
(304) 471-2488
Mailing address
2514 KINCHELOE RD, JANE LEW, WV 26378-6822
(304) 517-0657
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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