Individual
ANNA MAE HIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 BLOCKER STREET, RIDGELEY, WV 26753-0057
(301) 876-1613
Mailing address
PO BOX 57, RIDGELEY, WV 26753-0057
(301) 876-1613
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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