Most Relevant Information
Provider Data
| NPI Number: | 1003411307 |
| Provider Name: | JESSICA KNIGHT-HENTHORN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2020 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
2307 PENNSYLVANIA AVE
PARKERSBURG
WV
261017146
Practice Location Phone/Fax
| Phone: | 3044839632 |
| Fax: |
Provider Mailing Location
2307 PENNSYLVANIA AVE
PARKERSBURG
WV
261017146
Provider Mailing Phone/Fax
| Phone: | 3044839632 |
| Fax: |