Individual
JESSICA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1586 1/2 WASHINGTON ST E, CHARLESTON, WV 25311-2509
(304) 356-8687
Mailing address
1586 1/2 WASHINGTON ST E, CHARLESTON, WV 25311-2509
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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