MICAH PENCO

PARKERSBURG, WV
NPI1255929402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-01-04
Last Update Date2021-01-04
Business Address
MICAH PENCO
3702 CAMDEN AVE
PARKERSBURG, WV 26101-6333
Phone number: 304-485-6405
Mailing Address
MICAH PENCO
3702 CAMDEN AVE
PARKERSBURG, WV 26101-6333
Phone number: 304-485-6405