JOSHUA JACK

ELKINS, WV
NPI1669045423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-07-20
Last Update Date2021-07-20
Business Address
JOSHUA JACK
218 3RD ST
ELKINS, WV 26241-3833
Phone number: 304-636-5195
Mailing Address
JOSHUA JACK
218 3RD ST
ELKINS, WV 26241-3833
Phone number: 304-636-5195
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