Most Relevant Information
Provider Data
| NPI Number: | 1003636861 |
| Provider Name: | JENNY DAWN BYARS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/15/2024 |
| Last Updated: | 10/17/2024 |
Provider Practice Location
3776 MOUNTAINEER HIGHWAY
MABEN
WV
25870
Practice Location Phone/Fax
| Phone: | 3042945610 |
| Fax: | 3042942040 |
Provider Mailing Location
PO BOX 835
MULLENS
WV
258820835
Provider Mailing Phone/Fax
| Phone: | 3042945610 |
| Fax: | 3042942040 |