DEONTAE JAMES HAMILETT

CROSS LANES, WV
NPI1174243612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-09-02
Last Update Date2022-09-07
Business Address
DEONTAE JAMES HAMILETT
103 TYLER RIDGE RD
CROSS LANES, WV 25313-3408
Phone number: 304-444-2092
Mailing Address
DEONTAE JAMES HAMILETT
103 TYLER RIDGE RD
CROSS LANES, WV 25313-3408
Phone number: 304-444-2092
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