Bernice Keesucker
NPI #1588141709 in Jane Lew, West Virginia
Provider Information
- NPI Number
- 1588141709
- Entity Type
- Individual
- Name
- Bernice Keesucker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jul 20, 2018
- Last Updated
- Jul 20, 2018
Practice Location
- Address
- 749 HIDDEN VALLEY RD
- City
- Jane Lew
- State
- West Virginia
- ZIP Code
- 26378-6996
- Phone
- (304) 884-7835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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