THEODORE HEINTZ

FAIRMONT, WV
NPI1053185934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-11-10
Last Update Date2023-11-10
Business Address
THEODORE HEINTZ
511 MARKET ST
FAIRMONT, WV 26554-5242
Phone number: 502-424-7291
Mailing Address
THEODORE HEINTZ
511 MARKET ST
FAIRMONT, WV 26554-5242
Phone number: 502-424-7291