Individual
ANGEL M HIXENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 BURTON ST, BURTON, WV 26562-7402
(681) 285-5061
Mailing address
54 BURTON ST, BURTON, WV 26562-7402
(681) 285-5061
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607394
—
WV
05
—
1821206228
—
WV
Enumeration date
08/01/2024
Last updated
08/01/2024
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