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Angela Richardson

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

NPI number1962099622
StatusActive
Last updated in NPPESDec 29, 2020

Details

NPI
1962099622
Entity type
Individual (NPI-1)
Name
Angela Richardson
Sex
Female
Sole proprietor
No
Enumeration date
Dec 29, 2020
Certification date
Dec 29, 2020
Last updated
Dec 29, 2020

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

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