JOHNATHAN EUGENE SMITH

BECKLEY, WV
NPI1063015089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2020-11-20
Last Update Date2020-11-20
Business Address
JOHNATHAN EUGENE SMITH
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
Mailing Address
JOHNATHAN EUGENE SMITH
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397