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Mary Michael

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

NPI number1558090464
StatusActive
Last updated in NPPESJun 7, 2022

Details

NPI
1558090464
Entity type
Individual (NPI-1)
Name
Mary Michael
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2022
Certification date
Jun 7, 2022
Last updated
Jun 7, 2022

Taxonomy and licenses

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

Practice location

401 Ridge St
Keyser, WV 26726-2527

Phone 304-813-4170

Mailing address

401 Ridge St
Keyser, WV 26726-2527

Phone 304-813-4170

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