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Individual
MARTHA R MCCARDLE
Active
Individual
MARTHA R MCCARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
1356607394
WV
3747P1801X
Personal Care Attendant
Primary
1820206228
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356607394
—
WV
Enumeration date
07/16/2020
Last updated
07/16/2020
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