DAN DALE KELLY

SHADY COVE, OR
NPI1285952101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies172A00000X Driver
372500000X Chore Provider
Enumeration Date2010-05-17
Last Update Date2010-05-17
Business Address
Mr. DAN DALE KELLY
120 BIRCH ST
SHADY COVE, OR 97539
Phone number: 541-878-2429
Mailing Address
Mr. DAN DALE KELLY
PO BOX 1516
SHADY COVE, OR 97539
Phone number: 541-878-2429