Individual
ANGEL NICOLE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 4TH ST, MOUNDSVILLE, WV 26041-1724
(304) 312-5048
Mailing address
178 FORK RIDGE RD, MOUNDSVILLE, WV 26041-3137
(304) 843-1111
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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