BLAKE ANTHONY LUCAS

CLARKSBURG, WV
NPI1407443468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-24
Last Update Date2020-12-24
Business Address
BLAKE ANTHONY LUCAS
210 TEMPLE TER
CLARKSBURG, WV 26301-4018
Phone number: 304-709-8636
Mailing Address
BLAKE ANTHONY LUCAS
210 TEMPLE TER
CLARKSBURG, WV 26301-4018
Phone number: 304-709-8636
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