Individual
STEPHANIE MARANN TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
475 MIDDLE PATCH RD, GALLAGHER, WV 25083-8007
(304) 389-4009
Mailing address
475 MIDDLE PATCH RD, GALLAGHER, WV 25083-8007
(304) 389-4009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38312
WV
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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