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Individual

MICHELLE LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
57 ASHTON DR, FAYETTEVILLE, WV 25840-5852
(304) 222-1032
Mailing address
57 ASHTON DR, FAYETTEVILLE, WV 25840-5852

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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