DEASAH NYCOLLE LEE

FAIRMONT, WV
NPI1740987999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2023-02-08
Last Update Date2023-02-08
Business Address
DEASAH NYCOLLE LEE BSW
701 BENONI AVE
FAIRMONT, WV 26554-2508
Phone number: 304-746-2918
Mailing Address
DEASAH NYCOLLE LEE BSW
701 BENONI AVE
FAIRMONT, WV 26554-2508
Phone number: 304-746-2918
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