Change INC
NPI #1912311705 in Weirton, West Virginia
Provider Information
- NPI Number
- 1912311705
- Entity Type
- Organization
- Organization Name
- Change INC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Jun 19, 2014
Practice Location
- Address
- 3248 PENNSYLVANIA AVE
- City
- Weirton
- State
- West Virginia
- ZIP Code
- 26062-3804
- Phone
- (304) 748-2828
Authorized Official
- Name
- JUDY RAVEAUX
- Title
- CEO
- Phone
- (304) 797-7733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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