JEANNIE LATICIA STEWART

CHARLESTON, WV
NPI1194045435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: WV  99FMG)
Enumeration Date2010-06-09
Last Update Date2010-06-09
Business Address
-- JEANNIE LATICIA STEWART
196 WERTZ AVE
CHARLESTON, WV 25311-1726
Phone number: 304-345-2014
Mailing Address
-- JEANNIE LATICIA STEWART
196 WERTZ AVE
CHARLESTON, WV 25311-1726
Phone number: 304-345-2014
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