Most Relevant Information
Provider Data
| NPI Number: | 1003410887 |
| Provider Name: | RITA ANN RUNION |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/23/2020 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
15 BANK ST
CLAY
WV
25043
Practice Location Phone/Fax
| Phone: | 3045879992 |
| Fax: | 3045879993 |
Provider Mailing Location
560 TWISTABOUT RD
PROCIOUS
WV
251648072
Provider Mailing Phone/Fax
| Phone: | 3045872808 |
| Fax: |