DYLAN S MARTIN

CHARLESTON, WV
NPI1134728660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-26
Last Update Date2022-05-04
Business Address
DYLAN S MARTIN
48 BAXTER DR
CHARLESTON, WV 25302-5424
Phone number: 304-989-7876
Mailing Address
DYLAN S MARTIN
48 BAXTER DR
CHARLESTON, WV 25302-5424
Phone number: 304-989-7876