Individual
JACQUELINE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
182 ENDICOTT ST, BRUCETON MILLS, WV 26525-6162
(304) 290-3655
Mailing address
182 ENDICOTT ST, BRUCETON MILLS, WV 26525-6162
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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