LISA M FLOOD BLACK

CHARLESTON, WV
NPI1285376913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
LISA M FLOOD BLACK
321 COPENHAVER DR
CHARLESTON, WV 25387-1525
Phone number: 304-859-2917
Mailing Address
LISA M FLOOD BLACK
321 COPENHAVER DR
CHARLESTON, WV 25387-1525
Phone number: 304-859-2917
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