Individual
JANICE EDNA BASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
16 GRACE ST, CULLODEN, WV 25510-7613
(304) 767-0704
Mailing address
16 GRACE ST, CULLODEN, WV 25510-7613
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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