RUSSELL LEE SUTHERLAND

KENOVA, WV
NPI1588254197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-01-19
Last Update Date2021-01-19
Business Address
RUSSELL LEE SUTHERLAND
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
Mailing Address
RUSSELL LEE SUTHERLAND
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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