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Ciera Cheyenne Board

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

NPI number1548089477
StatusActive
Last updated in NPPESOct 8, 2024

Details

NPI
1548089477
Entity type
Individual (NPI-1)
Name
Ciera Cheyenne Board
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2024
Certification date
Oct 4, 2024
Last updated
Oct 8, 2024

Taxonomy and licenses

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

Practice location

1636 Darnell Rd.
Huntington, WV 25705

Phone 304-733-1094

Mailing address

1636 Darnell Rd.
Huntington, WV 25705

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