GENEVA KAY WALLACE

DINGESS, WV
NPI1730828666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
GENEVA KAY WALLACE
3730 LOG CABIN LN
DINGESS, WV 25671-1402
Phone number: 304-752-1769
Mailing Address
GENEVA KAY WALLACE
3730 LOG CABIN LN
DINGESS, WV 25671-1402
Phone number: