Individual
AJAMU GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
465 SUNDOWN RDG, SOUTH CHARLESTON, WV 25309-1725
(681) 313-7622
Mailing address
465 SUNDOWN RDG, SOUTH CHARLESTON, WV 25309-1725
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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