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Jateiya Cross
Health Service Clinic/Center in Beaver, West Virginia
NPI 1164172623

Jateiya Cross is a Health Service Clinic/Center based in Beaver, WV and is specialized in Health Service. Jateiya Cross practices in Beaver, WV. The NPI Number for Jateiya Cross is 1164172623 and holds a License No. (West Virginia).

The current practice location address for Jateiya Cross is 175 Philpott Ln, Beaver, WV and can be reached out via phone at 304-254-9262.

Location: 175 Philpott Ln, Beaver, WV, 25813-9501
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Provider Profile Details
NPI Number
1164172623
Provider Name
Jateiya Cross
Credential
Provider Entity Type
Individual
Gender
Female
Address
175 Philpott Ln, Beaver, WV, 25813-9501
Phone Number
304-254-9262
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y8Z4D8E7 01 WV MA
institution
Provider Business Practice Location Address Details
Address
175 Philpott Ln
City
State
Zip
25813-9501
Phone Number
304-254-9262
Fax Number
person
Provider Business Mailing Address Details
Address
175 Philpott Ln
City
State
Zip
25813-9501
Phone Number
304-254-9262
Fax Number
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Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
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Definition
Definition to come...
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