Individual
KRISENA LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N HILLS DR, CHARLESTON, WV 25387-1229
(304) 941-3841
Mailing address
805 N HILLS DR, CHARLESTON, WV 25387-1229
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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