Angel Lavonna Proctor
NPI #1114519311 in Sophia, West Virginia
Provider Information
- NPI Number
- 1114519311
- Entity Type
- Individual
- Name
- Angel Lavonna Proctor
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 524 WATER TANK HILL
- City
- Sophia
- State
- West Virginia
- ZIP Code
- 25921-0333
- Phone
- (304) 890-7326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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