MISTY DAWN ANGEL

CHARLESTON, WV
NPI1750135810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246Z00000X Specialist/Technologist, Other
Enumeration Date2024-04-15
Last Update Date2024-04-15
Business Address
MISTY DAWN ANGEL
1522 OAKHURST DR
CHARLESTON, WV 25314-2442
Phone number: 304-601-3803
Mailing Address
MISTY DAWN ANGEL
MADISON, WV 25130
Phone number: 304-601-3803