FAYBION TYREE JOHNSON

SOUTH CHARLESTON, WV
NPI1346982709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-04-07
Last Update Date2022-04-07
Business Address
FAYBION TYREE JOHNSON
325 4TH AVE
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-5085
Mailing Address
FAYBION TYREE JOHNSON
325 4TH AVE
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-5085
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