Individual
ARLEA N ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 SWIERKOS DR, MOUNDSVILLE, WV 26041-4209
(304) 843-2306
Mailing address
1501 7TH ST, MOUNDSVILLE, WV 26041-2018
(951) 217-1858
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114118973
—
WV
05
—
1356607394
—
WV
Enumeration date
08/24/2020
Last updated
10/21/2020
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