AUTUMN ELLIS

KENOVA, WV
NPI1497342604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-22
Last Update Date2020-12-22
Business Address
AUTUMN ELLIS
1401 CHESTNUT ST
KENOVA, WV 25530-1235
Phone number: 304-453-2800
Mailing Address
AUTUMN ELLIS
1401 CHESTNUT ST
KENOVA, WV 25530-1235
Phone number: 304-453-2800
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