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Individual

HEATHER RENE KNUCKLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
2485 BLACK DIAMOND HWY, THORPE, WV 24888
(304) 448-2704
Mailing address
PO BOX 64, THORPE, WV 24888-0064

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/08/2025
Last updated
07/08/2025
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