ETHAN RIVAS-WILSON

BARBOURSVILLE, WV
NPI1194471011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
ETHAN RIVAS-WILSON
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
Mailing Address
ETHAN RIVAS-WILSON
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number:
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