LISA FANNIN

CHARLESTON, WV
NPI1346850245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-05
Last Update Date2022-05-04
Business Address
LISA FANNIN
79 ANDOVER LN
CHARLESTON, WV 25320-7770
Phone number: 304-542-5955
Mailing Address
LISA FANNIN
79 ANDOVER LN
CHARLESTON, WV 25320-7770
Phone number: 304-542-5955
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