JUSTIN RONALD WINE

HUNTINGTON, WV
NPI1578245585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP1600X Counselor Pastoral
Additional Taxonomies374K00000X Religious Nonmedical Practitioner
Enumeration Date2023-08-01
Last Update Date2023-08-01
Business Address
JUSTIN RONALD WINE
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-429-6741
Mailing Address
JUSTIN RONALD WINE
119 NORTH TER
HUNTINGTON, WV 25705-1533
Phone number: