LARISSA L PACK

MILTON, WV
NPI1700461993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-03-10
Last Update Date2021-03-16
Business Address
LARISSA L PACK
1707 US ROUTE 60 W
MILTON, WV 25541-1133
Phone number: 304-743-8160
Mailing Address
LARISSA L PACK
1707 US ROUTE 60 W
MILTON, WV 25541-1133
Phone number: 304-743-8160
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