JOHNNA RALONN SHORT

BRIDGEPORT, WV
NPI1821665316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WV  108483)
Enumeration Date2021-06-04
Last Update Date2021-06-04
Business Address
JOHNNA RALONN SHORT NP
139 CONFERENCE CENTER WAY STE 113
BRIDGEPORT, WV 26330-9147
Phone number: 304-599-8003
Mailing Address
JOHNNA RALONN SHORT NP
1247 SUNCREST TOWN CENTRE DR
MORGANTOWN, WV 26505-1876
Phone number: 304-599-8000
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