NATHANIEL WAYNE PATRICK

HAZARD, KY
NPI1518270008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2010-07-26
Last Update Date2010-07-26
Business Address
-- NATHANIEL WAYNE PATRICK
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Mailing Address
-- NATHANIEL WAYNE PATRICK
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761