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Individual

ALICIA MICHELE LONCHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 GULLETTE LN, WEIRTON, WV 26062-5255
(775) 762-8751
Mailing address
11 GULLETTE LN, WEIRTON, WV 26062-5255
(775) 762-8751

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
182126228
WV
Enumeration date
07/03/2023
Last updated
07/03/2023
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