JALISA JOHNSON

BECKLEY, WV
NPI1760230429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
JALISA JOHNSON
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
Mailing Address
JALISA JOHNSON
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number: