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Sierra Eldridge

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

NPI number1689340408
StatusActive
Last updated in NPPESAug 24, 2021

Details

NPI
1689340408
Entity type
Individual (NPI-1)
Name
Sierra Eldridge
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2021
Certification date
Aug 24, 2021
Last updated
Aug 24, 2021

Taxonomy and licenses

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

Practice location

104 Granite Ln
Danville, WV 25053-9762

Phone 843-356-9653

Mailing address

104 Granite Ln
Danville, WV 25053-9762

Phone 843-356-9653

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