Mikenna Armentrout
Technician, Personal Care Attendant in Keyser, WV. Individual provider (NPI-1).
NPI number1740908367
StatusActive
Last updated in NPPESAug 19, 2022
Details
- NPI
- 1740908367
- Entity type
- Individual (NPI-1)
- Name
- Mikenna Armentrout
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2022
- Certification date
- Aug 17, 2022
- Last updated
- Aug 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
30 S E StKeyser, WV 26726-2432
Phone 304-790-4041
Mailing address
30 S E StKeyser, WV 26726-2432
Phone 304-790-4041
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