Individual
DONALD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 GAINS HOLLOW RD, CLARKSBURG, WV 26301-6651
(304) 842-0200
Mailing address
134 GAINS HOLLOW RD, CLARKSBURG, WV 26301-6651
(304) 842-0200
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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