BRADLEE BOOTH

KENOVA, WV
NPI1598462186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2023-02-14
Last Update Date2023-02-14
Business Address
BRADLEE BOOTH
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
Mailing Address
BRADLEE BOOTH
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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