Individual
HARLAND CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 MAGGIE LN, WAYNE, WV 25570-6007
(304) 544-5196
Mailing address
54 MAGGIE LN, WAYNE, WV 25570-6007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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