JACQUELINE E. GORE

SOUTH CHARLESTON, WV
NPI1689607640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  044318)
Enumeration Date2006-07-09
Last Update Date2007-07-09
Business Address
-- JACQUELINE E. GORE CRNA
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-766-3600
Mailing Address
-- JACQUELINE E. GORE CRNA
331 LAIDLEY ST SUITE 606
CHARLESTON, WV 25301-1619
Phone number: 304-344-0096