Most Relevant Information
Provider Data
NPI Number: | 1003427048 |
Provider Name: | DEANNA ELOISE SUMMERFIELD |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/13/2020 |
Last Updated: | 08/13/2020 |
Provider Practice Location
44 BLUE BIRD ALLEY
HAMBLETON
WV
26267
Practice Location Phone/Fax
Phone: | 3046369396 |
Fax: |
Provider Mailing Location
44 BLUE BIRD ALLEY
HAMBLETON
WV
26267
Provider Mailing Phone/Fax
Phone: | |
Fax: |