Individual
ANGEL BONNIE SUE TOKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 THORN AVE, MOUNDSVILLE, WV 26041-1248
(304) 845-3465
Mailing address
223 THORN AVE, MOUNDSVILLE, WV 26041-1248
(304) 845-3465
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607314
—
WV
05
—
1821206228
—
WV
Enumeration date
03/31/2022
Last updated
03/31/2022
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