KENNY LUCAS

CHARLESTON, WV
NPI1285430694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-02-25
Last Update Date2025-02-25
Business Address
KENNY LUCAS
5512 BIG TYLER RD
CHARLESTON, WV 25313-1304
Phone number: 304-766-9830
Mailing Address
KENNY LUCAS
5512 BIG TYLER RD
CHARLESTON, WV 25313-1304
Phone number: 304-766-9830
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