TYRONE DONOVAN

PETERSBURG, WV
NPI1568175412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-01-05
Last Update Date2023-01-05
Business Address
TYRONE DONOVAN
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847-1547
Phone number: 304-257-9298
Mailing Address
TYRONE DONOVAN
3650 RIVER RD
FISHER, WV 26818-4192
Phone number: