Individual
ANDREA NICHOLE SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 LEONARD AVENUE EXT APT 11D, FAIRMONT, WV 26554-3868
(234) 320-5729
Mailing address
480 LEONARD AVENUE EXT APT 11D, FAIRMONT, WV 26554-3868
(234) 320-5729
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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