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Sierra R McCoy

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

NPI number1962095331
StatusActive
Last updated in NPPESFeb 17, 2021

Details

NPI
1962095331
Entity type
Individual (NPI-1)
Name
Sierra R McCoy
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2021
Certification date
Feb 17, 2021
Last updated
Feb 17, 2021

Taxonomy and licenses

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

Practice location

1599 2nd Ave
Charleston, WV 25387-2514

Phone 304-344-0586

Mailing address

Po Box 20112
Charleston, WV 25362-1112

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