Individual
CANDRA FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MANKIN AVE, BECKLEY, WV 25801-4166
(252) 305-7185
Mailing address
301 MANKIN AVE, BECKLEY, WV 25801-4166
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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