NPI 1003487117
Brooklyn Queen
Practice location
- Address
- 200 Association Dr STE 130, Charleston, WV 25311-1277
- Phone
- (304) 517-5407
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003487117
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jul 2021
- Record last updated
- 9 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.