Individual
MRS. ANNE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 3RD ST, NITRO, WV 25143
(304) 993-7051
Mailing address
3306 3RD ST, NITRO, WV 25143
(304) 993-7051
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G238101004501
PROVIDER ID
—
Enumeration date
01/30/2018
Last updated
01/30/2018
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