DESTINY DAWN LILLY

PRINCETON, WV
NPI1679392930
Other NameDESTINY DAWN LILLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: WV  1568796027)
Enumeration Date2024-10-04
Last Update Date2024-10-04
Business Address
DESTINY DAWN LILLY
600 TRENT STREET
PRINCETON, WV 24740
Phone number: 304-425-7111
Mailing Address
DESTINY DAWN LILLY
355 BLUEFIELD AVE
BLUEFIELD, WV 24701-2883
Phone number: 304-425-7111