DIANE SMITH

BEAVER, WV
NPI1508073784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  27398)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- DIANE SMITH LPN
175 PHILPOT LANE
BEAVER, WV 25813
Phone number: 304-254-9262
Mailing Address
-- DIANE SMITH LPN
PO BOX 274
GLEN JEAN, WV 25846-0274
Phone number: 304-469-2652
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