BROCK TACKETT

HUNTINGTON, WV
NPI1033858188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
BROCK TACKETT
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
Mailing Address
BROCK TACKETT
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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