DESTINEE AGNEW

CHARLESTON, WV
NPI1396403960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-12-01
Last Update Date2021-12-01
Business Address
DESTINEE AGNEW
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-344-0586
Mailing Address
DESTINEE AGNEW
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number: