AUTUMN BALLARD

CHARLESTON, WV
NPI1386360386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-10-12
Last Update Date2022-10-12
Business Address
AUTUMN BALLARD
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-344-0586
Mailing Address
AUTUMN BALLARD
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number:
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