Individual
ALEXIS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SENIOR CENTER DRIVE, KINGWOOD, WV 26537
(304) 329-0464
(304) 329-0464
Mailing address
106 SENIOR CENTER DRIVE, KINGWOOD, WV 26537
(304) 329-0464
(304) 329-0464
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083830343
—
WV
Enumeration date
11/11/2021
Last updated
11/11/2021
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