Individual
HEATHER DAWN WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
116 VALLEY DR, MANNINGTON, WV 26582-3043
(304) 825-6364
Mailing address
116 VALLEY DR, MANNINGTON, WV 26582-3043
(304) 825-6246
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WV
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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