Most Relevant Information
Provider Data
| NPI Number: | 1003650490 |
| Provider Name: | KATERN SUE WILLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2024 |
| Last Updated: | 06/21/2024 |
Provider Practice Location
25 FAWN MEADOW DR
MAIDSVILLE
WV
265417218
Practice Location Phone/Fax
| Phone: | 3042820236 |
| Fax: |
Provider Mailing Location
25 FAWN MEADOW DR
MAIDSVILLE
WV
265417218
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |