ETHAN M UNDERWOOD

NEW MARTINSVILLE, WV
NPI1104429380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-11-19
Last Update Date2020-11-19
Business Address
ETHAN M UNDERWOOD
145 PADUCAH DR
NEW MARTINSVILLE, WV 26155-2709
Phone number: 304-455-3220
Mailing Address
ETHAN M UNDERWOOD
145 PADUCAH DR
NEW MARTINSVILLE, WV 26155-2709
Phone number: 304-455-3220
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