Most Relevant Information
Provider Data
| NPI Number: | 1003551664 |
| Provider Name: | DENNA NICOLE CLAY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2022 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
2240 BENCH WAY
CHARLESTON
WV
253119703
Practice Location Phone/Fax
| Phone: | 3043568986 |
| Fax: |
Provider Mailing Location
2240 BENCH WAY
CHARLESTON
WV
253119703
Provider Mailing Phone/Fax
| Phone: | 3043568986 |
| Fax: |