SHANE JAXYN LOGEN WILLIAMS

MOUNDSVILLE, WV
NPI1467189571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
SHANE JAXYN LOGEN WILLIAMS
206 ASH AVE
MOUNDSVILLE, WV 26041-1536
Phone number: 681-588-7733
Mailing Address
SHANE JAXYN LOGEN WILLIAMS
206 ASH AVE
MOUNDSVILLE, WV 26041-1536
Phone number: 681-588-7733
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