Individual provider · Type 1 NPI

Jessica Glenn Tetrick

Homemaker · Fairmont, WV

NPI number 1336807320 Active

Practice location

16 Mountain Park Dr
Fairmont, WV 26554-8992

Call (304) 816-3687 Map

Fax (304) 816-3737

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1336807320

Jessica Glenn Tetrick's National Provider Identifier is 1336807320, issued on Dec 7, 2021. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Fairmont, WV. The record was last updated on Dec 7, 2021.