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Andrea Evans

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

NPI number1952904591
StatusActive
Last updated in NPPESJul 9, 2021

Details

NPI
1952904591
Entity type
Individual (NPI-1)
Name
Andrea Evans
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2020
Certification date
Jul 9, 2021
Last updated
Jul 9, 2021

Taxonomy and licenses

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

Practice location

98 Orchard St
Keyser, WV 26726-3106

Phone 304-813-6435

Mailing address

98 Orchard St
Keyser, WV 26726-3106

Phone 304-813-6435

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