Individual
ANNALIESE MARIE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 HARRISON AVE, ELKINS, WV 26241-3325
(304) 636-4390
Mailing address
320 SETTER LN, BEVERLY, WV 26253-1128
(304) 338-2140
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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