MONA DIVERS

FAIRDALE, WV
NPI1275110066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-26
Last Update Date2021-03-26
Business Address
MONA DIVERS
1157 BOLT RD
FAIRDALE, WV 25839
Phone number: 681-459-3155
Mailing Address
MONA DIVERS
PO BOX 711
GLEN DANIEL, WV 25844-0711
Phone number: 681-459-3115
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