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Jessica Good

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

NPI number1619703113
StatusActive
Last updated in NPPESSep 11, 2024

Details

NPI
1619703113
Entity type
Individual (NPI-1)
Name
Jessica Good
Sex
Female
Sole proprietor
No
Enumeration date
Sep 11, 2024
Certification date
Sep 11, 2024
Last updated
Sep 11, 2024

Taxonomy and licenses

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

Practice location

325 4th Ave Ste 2
South Charleston, WV 25303-1266

Phone 304-744-5085

Mailing address

325 4th Ave Ste 2
South Charleston, WV 25303-1266

Phone 304-744-5085

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