Individual
MRS. DANESSA NICKOLE LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W 4TH AVE, WILLIAMSON, WV 25661-3116
(304) 928-9145
Mailing address
316 W 4TH AVE, WILLIAMSON, WV 25661-3116
(304) 928-9145
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
10321565
WV
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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