DERIK AUSTIN LIVINGSTON

RAINELLE, WV
NPI1437971264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-10-31
Last Update Date2024-10-31
Business Address
DERIK AUSTIN LIVINGSTON
144 8TH ST
RAINELLE, WV 25962-1224
Phone number: 304-888-6120
Mailing Address
DERIK AUSTIN LIVINGSTON
144 8TH ST
RAINELLE, WV 25962-1224
Phone number: 304-888-6120
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