TAKARA LEEANN MUNCY

LOGAN, WV
NPI1114671906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  112055)
Enumeration Date2022-02-09
Last Update Date2022-03-21
Business Address
TAKARA LEEANN MUNCY
174 LMAH CENTER RD
LOGAN, WV 25601-4058
Phone number: 304-792-7130
Mailing Address
TAKARA LEEANN MUNCY
174 LMAH CENTER RD
LOGAN, WV 25601-4058
Phone number: 304-792-7130
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