SOPHIA CROCKETT

CHARLESTON, WV
NPI1750118030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
SOPHIA CROCKETT
301 GLENWOOD AVE
CHARLESTON, WV 25302-1503
Phone number: 304-989-8944
Mailing Address
SOPHIA CROCKETT
301 GLENWOOD AVE
CHARLESTON, WV 25302-1503
Phone number: