STACIE FUDGE

SOUTH CHARLESTON, WV
NPI1255927513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-21
Last Update Date2020-12-21
Business Address
STACIE FUDGE
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
Mailing Address
STACIE FUDGE
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081