ALEX THAXTON

CROSS LANES, WV
NPI1659140499
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2023-12-21
Last Update Date2023-12-21
Business Address
ALEX THAXTON
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
Mailing Address
ALEX THAXTON
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830