Individual
KANDACE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
705 RUTHERFORD BRANCH ROAD, NORTH MATEWAN, WV 25688
(681) 308-6082
Mailing address
PO BOX 321, NORTH MATEWAN, WV 25688-0321
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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