Courtney Desiree Pack
NPI #1619735685 in Kermit, West Virginia
Provider Information
- NPI Number
- 1619735685
- Entity Type
- Individual
- Name
- Courtney Desiree Pack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Mar 13, 2024
- Last Updated
- Mar 13, 2024
Practice Location
- Address
- 1378 LEFT FORK MARROWBONE CRK
- City
- Kermit
- State
- West Virginia
- ZIP Code
- 25674-7275
- Phone
- (304) 733-1094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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