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Keriona Sheray Martin

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

NPI number1013788694
StatusActive
Last updated in NPPESJan 11, 2024

Details

NPI
1013788694
Entity type
Individual (NPI-1)
Name
Keriona Sheray Martin
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2024
Certification date
Jan 11, 2024
Last updated
Jan 11, 2024

Taxonomy and licenses

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

Practice location

325 4th Ave
South Charleston, WV 25303-1266

Phone 304-744-4940

Mailing address

325 4th Ave Ste 1
South Charleston, WV 25303-1266

Phone 304-744-4940

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