STACY ANNETTE CHURCH

CHARLESTON, WV
NPI1114930658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WV  01163)
Enumeration Date2006-08-15
Last Update Date2011-06-21
Business Address
Mrs. STACY ANNETTE CHURCH pa-c
3100 MACCORKLE AVE SE SUITE 610
CHARLESTON, WV 25304-1223
Phone number: 304-346-1141
Mailing Address
Mrs. STACY ANNETTE CHURCH pa-c
3100 MACCORKLE AVE SE SUITE 610
CHARLESTON, WV 25304-1223
Phone number: 304-346-1141
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