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David Alan Woodall

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

NPI number1154053957
StatusActive
Last updated in NPPESJun 29, 2022

Details

NPI
1154053957
Entity type
Individual (NPI-1)
Name
David Alan Woodall
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2022
Certification date
Jun 29, 2022
Last updated
Jun 29, 2022

Taxonomy and licenses

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

Practice location

218 Yuma Camp Rd
Logan, WV 25601-9589

Phone 304-733-1094

Mailing address

218 Yuma Camp Rd
Logan, WV 25601-9589

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