NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003017492 |   |   |   | SANDAL, INC | 2910 EMERSON AVE | PARKERSBURG | WV | 261042519 |
1629067905 | CULBERTSON | MARION | LORRAINE |   | 2910 EMERSON AVE | PARKERSBURG | WV | 261042519 |
1144221714 | DIP-FIGUEROA | ALLAN |   |   | 2910 EMERSON AVE | PARKERSBURG | WV | 261042519 |