Individual
AUDRA G BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 ARGYLE ST, KEYSER, WV 26726-3303
(304) 209-9730
Mailing address
176 ARGYLE ST, KEYSER, WV 26726-3303
(304) 209-9730
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
07/09/2021
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