Individual
KAITLYN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5512 BIG TYLER RD, CROSS LANES, WV 25313-1304
(304) 766-9830
Mailing address
5512 BIG TYLER RD, CROSS LANES, WV 25313-1304
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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