Individual
MARY HENRIETTA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
170 BLADEN LN, ASHTON, WV 25503-9528
(681) 237-8171
Mailing address
170 BLADEN LN, ASHTON, WV 25503-9528
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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