SISSIE DIANE JOHNSON

FAIRMONT, WV
NPI1114640190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
(Licence: WV  E949982)
Enumeration Date2022-09-23
Last Update Date2022-09-23
Business Address
SISSIE DIANE JOHNSON
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Mailing Address
SISSIE DIANE JOHNSON
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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