KODA MICHAEL SAMPSON

CLARKSBURG, WV
NPI1740002815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
KODA MICHAEL SAMPSON
636 HANOVER ST
CLARKSBURG, WV 26301-7537
Phone number: 740-647-3613
Mailing Address
KODA MICHAEL SAMPSON
636 HANOVER ST
CLARKSBURG, WV 26301-7537
Phone number: 740-647-3613
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