BILLY JOE SOUTHERN

BLUEFIELD, WV
NPI1043095599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-08-31
Last Update Date2023-08-31
Business Address
BILLY JOE SOUTHERN
3873 MAPLE ACRES RD
BLUEFIELD, WV 24701-5055
Phone number: 304-324-8819
Mailing Address
BILLY JOE SOUTHERN
3873 MAPLE ACRES RD
BLUEFIELD, WV 24701-5055
Phone number: 304-324-8819
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