Mattie Carmen Hammond
Technician, Personal Care Attendant in Varney, WV. Individual provider (NPI-1).
NPI number1023767167
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1023767167
- Entity type
- Individual (NPI-1)
- Name
- Mattie Carmen Hammond
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2022
- Certification date
- Mar 10, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
Rt. 52 Pioneer Dr.Varney, WV 25696
Phone 304-426-5465
Mailing address
Rt. 52 Pioneer Dr. Box 427Varney, WV 25696
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