TY LUCAS

MARTINSBURG, WV
NPI1588236863
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-07-15
Last Update Date2021-07-15
Business Address
TY LUCAS
42 LUCAS LN
MARTINSBURG, WV 25403-5408
Phone number: 304-901-6135
Mailing Address
TY LUCAS
42 LUCAS LN
MARTINSBURG, WV 25403-5408
Phone number: 304-901-6135