Individual
AUTUMN HAYLEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GEORGE ST, BECKLEY, WV 25801-2648
(304) 929-2669
Mailing address
467 ABNEY RD, GLEN MORGAN, WV 25813-7556
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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