Individual
CASSIDY AGNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 PHIL AVE, BECKLEY, WV 25801-2049
(304) 256-6502
Mailing address
294 PEBBLESTONE DR, BECKLEY, WV 25801-8797
(681) 238-8344
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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