Most Relevant Information
Provider Data
| NPI Number: | 1003698713 |
| Provider Name: | ELIZABETH GREENLEA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2023 |
| Last Updated: | 10/17/2023 |
Provider Practice Location
712 MERCER ST
PRINCETON
WV
247403114
Practice Location Phone/Fax
| Phone: | 3044312443 |
| Fax: |
Provider Mailing Location
1284 CREST VIEW DR
GREENVILLE
WV
249457009
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |