LACEE JO SAMPLES

CLAY, WV
NPI1134841059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-09-16
Last Update Date2022-09-16
Business Address
LACEE JO SAMPLES
172 MAIN STREET
CLAY, WV 25043
Phone number: 304-587-4251
Mailing Address
LACEE JO SAMPLES
PO BOX 455
CLAY, WV 25043-0455
Phone number: