ABIGAIL KAREN DIVITA

GASSAWAY, WV
NPI1063124378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WV  68910)
Enumeration Date2022-12-19
Last Update Date2022-12-19
Business Address
ABIGAIL KAREN DIVITA
64 STATE ST
GASSAWAY, WV 26624-1132
Phone number: 304-364-1063
Mailing Address
ABIGAIL KAREN DIVITA
64 STATE ST
GASSAWAY, WV 26624-1132
Phone number:
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