Individual
BEVERLY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 NORWAY LOOP RD, FAIRMONT, WV 26554-8024
(304) 291-9066
Mailing address
34 NORWAY LOOP RD, FAIRMONT, WV 26554-8024
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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