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Holly Conrad

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

NPI number1942951165
StatusActive
Last updated in NPPESJan 11, 2022

Details

NPI
1942951165
Entity type
Individual (NPI-1)
Name
Holly Conrad
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 11, 2022
Certification date
Jan 11, 2022
Last updated
Jan 11, 2022

Taxonomy and licenses

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

Practice location

785 Summersville Lake Rd
Mount Nebo, WV 26679-9203

Phone 304-883-2334

Mailing address

Po Box 569
Mount Nebo, WV 26679-0569

Phone 304-883-2334

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