Traci Cathleen Anderson, CNA

NPI #1760030977 in Charles Town, West Virginia

Provider Information

NPI Number: 1760030977
Entity Type: Individual
Name: Traci Cathleen Anderson, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician - Attendant Care Provider
Credential: CNA
Enumeration Date: Aug 30, 2019
Last Updated: Aug 30, 2019

Practice Location

Address: 544 S SEMINARY ST
City: Charles Town
State: West Virginia
ZIP Code: 25414-1347
Phone: (304) 839-1262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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