TEQUILA S CROUSE

MOUNT NEBO, WV
NPI1184295354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-07-08
Last Update Date2021-07-08
Business Address
TEQUILA S CROUSE
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
Mailing Address
TEQUILA S CROUSE
PO BOX 569
MOUNT NEBO, WV 26679-0569
Phone number: 304-883-2334
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