JAMIE LYNN TANTIWONGSE

WESTON, WV
NPI1295559680
Former NameJAMIE LYNN DRYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
JAMIE LYNN TANTIWONGSE
168 QUARRY GLENN DR APT 705
WESTON, WV 26452-9690
Phone number: 304-838-0311
Mailing Address
JAMIE LYNN TANTIWONGSE
PO BOX 84
HORNER, WV 26372-0084
Phone number: 304-838-0311
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