Individual
BETHANEY DALLAS PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MCDONALD AVE, CHARLESTON, WV 25309-1410
(304) 590-9685
Mailing address
301 MCDONALD AVE, CHARLESTON, WV 25309-1410
(304) 590-9685
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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