DAIQUIRI FALLON AMS

MT STERLING, KY
NPI1427471549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: KY  171234)
Enumeration Date2014-01-24
Last Update Date2016-11-10
Business Address
-- DAIQUIRI FALLON AMS
300 FOXGLOVE DR
MT STERLING, KY 40353-9769
Phone number: 859-498-2135
Mailing Address
-- DAIQUIRI FALLON AMS
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588