Most Relevant Information
Provider Data
NPI Number: | 1003412586 |
Provider Name: | JENNIFER LEE PRICE |
Entity Type: | Individual |
Taxonomy Code: | 376J00000X |
Specialty: | Homemaker |
License Number: |
Most Important Dates
Enumeration Date: | 12/09/2020 |
Last Updated: | 12/09/2020 |
Provider Practice Location
504 CHERRY ST
MIDDLEBOURNE
WV
261499618
Practice Location Phone/Fax
Phone: | 3047584919 |
Fax: | 3047584680 |
Provider Mailing Location
PO BOX 68
MIDDLEBOURNE
WV
261490068
Provider Mailing Phone/Fax
Phone: | 3047584919 |
Fax: | 3047584680 |