Most Relevant Information
Provider Data
| NPI Number: | 1003404252 |
| Provider Name: | JULIE MATHERS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2021 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
3702 CAMDEN AVE
PARKERSBURG
WV
261016333
Practice Location Phone/Fax
| Phone: | 3044856405 |
| Fax: |
Provider Mailing Location
3702 CAMDEN AVE
PARKERSBURG
WV
261016333
Provider Mailing Phone/Fax
| Phone: | 3044856405 |
| Fax: |