Individual
ALESIA MARIE BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 BLUE ROOM RD, SOPHIA, WV 25921
(304) 890-9940
Mailing address
PO BOX 527, MIDWAY, WV 25878-0527
(304) 890-9940
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
12/23/2022
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