TIFFANY LUCAS

CROSS LANES, WV
NPI1720843014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2024-02-16
Last Update Date2024-02-16
Business Address
TIFFANY LUCAS
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
Mailing Address
TIFFANY LUCAS
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830