NICOLE ELIZABETH WAYNE

SUTTON, WV
NPI1710594874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-23
Last Update Date2020-10-22
Business Address
NICOLE ELIZABETH WAYNE
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
Mailing Address
NICOLE ELIZABETH WAYNE
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090