Koketa Fitzgerald
Koketa Fitzgerald is a Personal Care Attendant in Bluefield, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
239 Ellis StBluefield, WV 24701-3653
Phone: (304) 922-9557
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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 | 1750994364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2020 |
| Last updated in NPPES | January 10, 2023 |
| Certification date | January 10, 2023 |
| Mailing address | 239 Ellis St, Bluefield, WV 24701-3653 |
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