NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1164898383 | HINERMAN | ALICIA |   |   | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 |
1700261997 | MICHELINIE | KATI |   |   | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 |