Most Relevant Information
Provider Data
| NPI Number: | 1003565037 |
| Provider Name: | DONNA COKELEY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2022 |
| Last Updated: | 03/18/2022 |
Provider Practice Location
609 MADISON ST
FAIRMONT
WV
265542982
Practice Location Phone/Fax
| Phone: | 6817580053 |
| Fax: |
Provider Mailing Location
609 MADISON ST
FAIRMONT
WV
265542982
Provider Mailing Phone/Fax
| Phone: | 6817580053 |
| Fax: |