TAEVON QUINTREL HORTON

MORGANTOWN, WV
NPI1053088518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-08-24
Last Update Date2021-08-24
Business Address
TAEVON QUINTREL HORTON
1067 MAPLE DR
MORGANTOWN, WV 26505-0388
Phone number: 304-816-8510
Mailing Address
TAEVON QUINTREL HORTON
1067 MAPLE DR
MORGANTOWN, WV 26505-0388
Phone number: 304-816-8510