Individual
BARBARA WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WAGON CHASE TRL, CAPON BRIDGE, WV 26711-8814
(304) 856-1216
Mailing address
700 WAGON CHASE TRL, CAPON BRIDGE, WV 26711-8814
(304) 856-1216
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
07/09/2021
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