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Beverly Petrice

Technician, Personal Care Attendant in Elkins, WV. Individual provider (NPI-1).

NPI number1013595545
StatusActive
Last updated in NPPESMar 29, 2021

Details

NPI
1013595545
Entity type
Individual (NPI-1)
Name
Beverly Petrice
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 29, 2021
Certification date
Mar 29, 2021
Last updated
Mar 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

27 Midway Loop
Elkins, WV 26241-1373

Phone 304-636-5252

Mailing address

27 Midway Loop
Elkins, WV 26241-1373

Phone 304-636-5252

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