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Kansas Ann Randles

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

NPI number1962017285
StatusActive
Last updated in NPPESSep 14, 2020

Details

NPI
1962017285
Entity type
Individual (NPI-1)
Name
Kansas Ann Randles
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2020
Certification date
Sep 14, 2020
Last updated
Sep 14, 2020

Taxonomy and licenses

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

Practice location

281 Maple Ave
Oak Hill, WV 25901-3475

Phone 304-465-3302 · Fax 304-465-3306

Mailing address

281 Maple Ave
Oak Hill, WV 25901-3475

Phone 304-465-3302 · Fax 304-465-3306

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