Individual
MARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
605 LOWER OAK GROVE ROAD, OCEANA, WV 24870
(304) 890-1671
Mailing address
PO BOX 186, OCEANA, WV 24870-0186
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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