DESIRAE SERENE ELLISON

BECKLEY, WV
NPI1093420028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WV  2018-3632)
Enumeration Date2023-01-13
Last Update Date2023-01-13
Business Address
DESIRAE SERENE ELLISON
21 MALLARD CT
BECKLEY, WV 25801-3615
Phone number: 304-890-8020
Mailing Address
DESIRAE SERENE ELLISON
4714 OKEY L PATTESON RD
SCARBRO, WV 25917-8022
Phone number: 304-520-1426