LISA MARIE GASSNOLA

ELKINS, WV
NPI1164037560
Former NameLISA MARIE MALLOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-11
Last Update Date2020-09-11
Business Address
LISA MARIE GASSNOLA
#1 FIFTH STREET
ELKINS, WV 26241
Phone number: 304-636-4747
Mailing Address
LISA MARIE GASSNOLA
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747