Most Relevant Information
Provider Data
| NPI Number: | 1003688094 |
| Provider Name: | MARY ST.CLAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/24/2023 |
| Last Updated: | 10/24/2023 |
Provider Practice Location
3609 HUGHES ST
HUNTINGTON
WV
257041952
Practice Location Phone/Fax
| Phone: | 3044290070 |
| Fax: |
Provider Mailing Location
3609 HUGHES ST
HUNTINGTON
WV
257041952
Provider Mailing Phone/Fax
| Phone: | 3044290070 |
| Fax: |