JERRY ANDERSON

LOGAN, WV
NPI1215549373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
JERRY ANDERSON
3061 OLD LOGAN RD
LOGAN, WV 25601-3367
Phone number: 304-687-7783
Mailing Address
JERRY ANDERSON
3061 OLD LOGAN RD
LOGAN, WV 25601-3367
Phone number: 304-687-7783
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