JUSTICE SAMUELS

FAIRMONT, WV
NPI1477145431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-10
Last Update Date2021-02-10
Business Address
JUSTICE SAMUELS
200 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number: 304-502-2550
Mailing Address
JUSTICE SAMUELS
200 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number: