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Lisa Ann Mounts

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

NPI number1164036372
StatusActive
Last updated in NPPESSep 4, 2020

Details

NPI
1164036372
Entity type
Individual (NPI-1)
Name
Lisa Ann Mounts
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2020
Certification date
Sep 1, 2020
Last updated
Sep 4, 2020

Taxonomy and licenses

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

Practice location

6806 Interstate Highway
Ikes Fork, WV 24845

Phone 304-938-3146

Mailing address

Po Box 166
Gilbert, WV 25621-0166

Phone 304-938-3146

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