LORETTA JEAN BLAKE

WESTON, WV
NPI1578162293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-23
Last Update Date2020-10-23
Business Address
LORETTA JEAN BLAKE
171 W 2ND ST
WESTON, WV 26452-1665
Phone number: 304-269-5738
Mailing Address
LORETTA JEAN BLAKE
171 W 2ND ST
WESTON, WV 26452-1665
Phone number: 304-269-5738