JACE S OTTLEY

HUNTINGTON, WV
NPI1326721143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
JACE S OTTLEY PA-S
1542 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-696-6035
Mailing Address
JACE S OTTLEY PA-S
384 TURKEY CREEK RD
LEICESTER, NC 28748-7723
Phone number: