BRADLEY LEE DIPERNA

SHINNSTON, WV
NPI1114631660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-01-10
Last Update Date2023-01-10
Business Address
BRADLEY LEE DIPERNA
378 DIPERNA RD
SHINNSTON, WV 26431-6910
Phone number: 304-592-3928
Mailing Address
BRADLEY LEE DIPERNA
378 DIPERNA RD
SHINNSTON, WV 26431-6910
Phone number: 304-592-3928