JACOB REDDEN

BECKLEY, WV
NPI1548990336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WV  ED1145A)
Enumeration Date2022-06-14
Last Update Date2022-06-14
Business Address
JACOB REDDEN
252 RURAL ACRES DR
BECKLEY, WV 25801-3503
Phone number: 304-252-8324
Mailing Address
JACOB REDDEN
101 BILL BAKER WAY
BECKLEY, WV 25801-1505
Phone number: 304-252-8324