JERRELL JIMAL DENNY

LOUISA, KY
NPI1154054963
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-07-08
Last Update Date2022-07-08
Business Address
JERRELL JIMAL DENNY PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JERRELL JIMAL DENNY PSS
PO BOX 726
LOUISA, KY 41230-0726
Phone number: 606-638-0938