DOLLY WINE

CLARKSBURG, WV
NPI1255959441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-07-14
Last Update Date2020-07-14
Business Address
DOLLY WINE
500 W MAIN ST
CLARKSBURG, WV 26301-2819
Phone number: 304-623-6795
Mailing Address
DOLLY WINE
500 W MAIN ST
CLARKSBURG, WV 26301-2819
Phone number: 304-623-6795