KOKETA FITZGERALD

BLUEFIELD, WV
NPI1750994364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-25
Last Update Date2023-01-10
Business Address
KOKETA FITZGERALD
239 ELLIS ST
BLUEFIELD, WV 24701-3653
Phone number: 304-922-9557
Mailing Address
KOKETA FITZGERALD
239 ELLIS ST
BLUEFIELD, WV 24701-3653
Phone number: 304-922-9557