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Annie Lee Bandy

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

NPI number1164037040
StatusActive
Last updated in NPPESJul 9, 2021

Details

NPI
1164037040
Entity type
Individual (NPI-1)
Name
Annie Lee Bandy
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2020
Certification date
Jul 9, 2021
Last updated
Jul 9, 2021

Taxonomy and licenses

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

Practice location

200 E King St Apt 3
Martinsburg, WV 25401-4231

Phone 518-210-3393

Mailing address

200 E King St Apt 3
Martinsburg, WV 25401-4231

Phone 518-210-3393

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