Individual
LISA ANN GAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1428 HIVALERYI DR, GLEN DALE, WV 26038-1024
(304) 218-0753
Mailing address
1428 HIVALERYI DR, GLEN DALE, WV 26038-1024
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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