Individual
GARY BAISDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 MOSES FORK RD, DINGESS, WV 25671
(304) 752-5221
Mailing address
2751 MOSES FORK RD, DINGESS, WV 25671
(304) 752-5221
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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