Individual
AUDRA GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 CHESTNUT ST, RAINELLE, WV 25962-1008
(681) 291-3111
Mailing address
244 CHESTNUT ST, RAINELLE, WV 25962-1008
(681) 291-3111
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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