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Erica Lynn Hairston

Home Health Aide in Bluefield, WV. Individual provider (NPI-1).

NPI number1164026704
StatusActive
Last updated in NPPESNov 24, 2020

Details

NPI
1164026704
Entity type
Individual (NPI-1)
Name
Erica Lynn Hairston
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2020
Certification date
Nov 24, 2020
Last updated
Nov 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

3873 Maple Acres Rd
Bluefield, WV 24701-5055

Phone 304-324-8819 · Fax 304-327-0722

Mailing address

3873 Maple Acres Rd
Bluefield, WV 24701-5055

Phone 304-324-8819 · Fax 304-327-0722

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