Most Relevant Information
Provider Data
| NPI Number: | 1003420233 |
| Provider Name: | PATRICIA GAY PERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2020 |
| Last Updated: | 09/04/2020 |
Provider Practice Location
190 TURKEY CAMP RD
EAST LYNN
WV
255128618
Practice Location Phone/Fax
| Phone: | 3048494945 |
| Fax: |
Provider Mailing Location
190 TURKEY CAMP RD
EAST LYNN
WV
255128618
Provider Mailing Phone/Fax
| Phone: | 3048494945 |
| Fax: |