RICKY LYNN EVANS

LOST CREEK, WV
NPI1013738871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
RICKY LYNN EVANS
255 POOH BEAR LN
LOST CREEK, WV 26385-7537
Phone number: 304-785-4189
Mailing Address
RICKY LYNN EVANS
255 POOH BEAR LN
LOST CREEK, WV 26385-7537
Phone number: 304-785-4189