MICHAEL ALTIZER

LOGAN, WV
NPI1639765936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2020-12-21
Last Update Date2020-12-21
Business Address
MICHAEL ALTIZER
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
Mailing Address
MICHAEL ALTIZER
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868