MIRANDA J FORTNEY

FAIRMONT, WV
NPI1598411035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
(Licence: WV  F099263)
Enumeration Date2022-02-23
Last Update Date2022-02-23
Business Address
MIRANDA J FORTNEY
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Mailing Address
MIRANDA J FORTNEY
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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