Individual
SANDRA K ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MARIE CT, DANIELS, WV 25832-9574
(304) 573-4468
Mailing address
109 MARIE CT, DANIELS, WV 25832-9574
(304) 573-4468
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/06/2023
Last updated
03/07/2023
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