Individual
ALLISON SUZANNE BUNGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1408 BEDFORD RD, CHARLESTON, WV 25314-1915
(304) 741-0257
Mailing address
1408 BEDFORD RD, CHARLESTON, WV 25314-1915
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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