Individual
TRACI CATHLEEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
544 S SEMINARY ST, CHARLES TOWN, WV 25414-1347
(304) 839-1262
Mailing address
142 JOHN BROWN FARM CT, HARPERS FERRY, WV 25425-5723
(703) 220-0317
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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