Individual
BEVERLY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ELEANOR CIRCLE, ELEANOR, WV 25070
(304) 421-4883
Mailing address
PO BOX 981, ELEANOR, WV 25070
(304) 421-4883
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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