IVAN LUKE WEST

MAGNOLIA, DE
NPI1720481948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000771)
Enumeration Date2014-10-01
Last Update Date2014-10-01
Business Address
-- IVAN LUKE WEST
175 CIDER RUN
MAGNOLIA, DE 19962-1667
Phone number: 302-233-8622
Mailing Address
-- IVAN LUKE WEST
175 CIDER RUN
MAGNOLIA, DE 19962-1667
Phone number: 302-233-8622
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