Individual
ANGELA DAWN CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 972-0084
Mailing address
1401 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 972-0084
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
10/03/2023
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