Individual
ANDREA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 TANGLEWOOD DR, BECKLEY, WV 25801-3255
(681) 220-8248
Mailing address
107 TANGLEWOOD DR, BECKLEY, WV 25801-3255
(681) 220-8248
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
WV
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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