Individual provider · Type 1 NPI

Grace Catherine Clonch

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1194366757 Active

Practice location

3450 Monogahela Blvd
Morgantown, WV 26505

Call (304) 293-9868 Map

Mailing address

3450 Monongahela Blvd
Morgantown, WV 26505-3043

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194366757

Grace Catherine Clonch's National Provider Identifier is 1194366757, issued on Oct 4, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Oct 4, 2019.