Individual
MISS STEPHANIE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RYT
Contact information
Practice address
17 LOIS LN, FAIRMONT, WV 26554-8471
(724) 288-3639
Mailing address
17 LOIS LN, FAIRMONT, WV 26554-8471
(724) 288-3639
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
WV2003-1177
WV
225700000X
Massage Therapist
Primary
2003-1177
WV
Other
Enumeration date
11/13/2016
Last updated
02/21/2017
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