Individual
REGAN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 IONA DR, ELKVIEW, WV 25071-7086
(304) 993-8982
Mailing address
139 IONA DR, ELKVIEW, WV 25071-7086
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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