Individual
ANTHONY DEWAYNE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 DEER PARK LN, COOL RIDGE, WV 25825-1100
(304) 615-4394
Mailing address
129 DEER PARK LN, COOL RIDGE, WV 25825-1100
(304) 615-4394
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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