Individual
OPAL LETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2838 STATE HIGHWAY 292 E, BELFRY, KY 41514-7655
(304) 785-5964
Mailing address
2838 STATE HIGHWAY 292 E, BELFRY, KY 41514-7655
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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