Individual
ALICA PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GEORGE ST STE J, BECKLEY, WV 25801-2648
(304) 929-2670
Mailing address
PO BOX 483, SOPHIA, WV 25921-0483
(304) 731-0163
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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