JERRY A LEWIS

SUTTON, WV
NPI1235745340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-23
Last Update Date2020-10-22
Business Address
JERRY A LEWIS
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
Mailing Address
JERRY A LEWIS
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
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