SearchWest Virginia3747P1801X

Gaynelle Self

NPI 1750992509 · on the registry since 2020

Practice

Address
129 Old Farm Ln
Wayne, WV 25570
Phone
(304) 272-3070

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia