JUSTIN DAVID GREATHOUSE

PARKERSBURG, WV
NPI1427837392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-09-28
Last Update Date2023-09-28
Business Address
JUSTIN DAVID GREATHOUSE
1708 18TH ST
PARKERSBURG, WV 26101-3645
Phone number: 304-588-1718
Mailing Address
JUSTIN DAVID GREATHOUSE
1708 18TH ST
PARKERSBURG, WV 26101-3645
Phone number: 304-588-1718