ANGEL LANIE MCDIVITT

CLAY, WV
NPI1003569559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-02-03
Last Update Date2022-02-03
Business Address
ANGEL LANIE MCDIVITT
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
Mailing Address
ANGEL LANIE MCDIVITT
PO BOX 455
CLAY, WV 25043-0455
Phone number:
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