Most Relevant Information
Provider Data
| NPI Number: | 1003179268 |
| Provider Name: | VERA WOOTON |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2012 |
| Last Updated: | 06/21/2012 |
Provider Practice Location
115 ROCKWOOD LN
HAZARD
KY
417019415
Practice Location Phone/Fax
| Phone: | 6064365761 |
| Fax: |
Provider Mailing Location
115 ROCKWOOD LN
HAZARD
KY
417019415
Provider Mailing Phone/Fax
| Phone: | 6064365761 |
| Fax: |