Jaic Xavier Kingman
NPI #1417780586 in Piedmont, West Virginia
Provider Information
- NPI Number
- 1417780586
- Entity Type
- Individual
- Name
- Jaic Xavier Kingman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 23, 2024
- Last Updated
- Aug 23, 2024
Practice Location
- Address
- 67 E HAMPSHIRE ST
- City
- Piedmont
- State
- West Virginia
- ZIP Code
- 26750-1214
- Phone
- (304) 790-4386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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