Individual
STEPHANIE POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 THOMAS AVE, DAVIS, WV 26260
(304) 621-3933
Mailing address
PO BOX 336, DAVIS, WV 26260-0336
(304) 621-3933
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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