Ivy Riccole Paugh
Ivy Riccole Paugh is a Personal Care Attendant in Bridgeport, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
405 Elm DrBridgeport, WV 26330-1628
Phone: (304) 694-0359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1124615398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 22, 2020 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 405 Elm Dr, Bridgeport, WV 26330-1628 |
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