Individual
LEANNE NICOLE MATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3092 GHOST HOLLOW RD, GIVEN, WV 25245-7205
(304) 761-0890
Mailing address
3092 GHOST HOLLOW RD, GIVEN, WV 25245-7205
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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