TEDDY DEMASTUS

LUMBERPORT, WV
NPI1598352569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-24
Last Update Date2020-12-24
Business Address
TEDDY DEMASTUS
3073 JONES RUN RD
LUMBERPORT, WV 26386-8275
Phone number: 304-842-0200
Mailing Address
TEDDY DEMASTUS
3073 JONES RUN RD
LUMBERPORT, WV 26386-8275
Phone number:
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