Individual
JACKIE LEONARD HAPPNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 WINTERHAVEN DRIVE, BICKMORE, WV 25019
(304) 618-0066
Mailing address
PO BOX 139, BICKMORE, WV 25019-0139
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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