DYLAN MICHAEL LEPORT

HUNTINGTON, WV
NPI1770189037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-10
Last Update Date2020-12-10
Business Address
DYLAN MICHAEL LEPORT
4329 HUGHES BRANCH RD
HUNTINGTON, WV 25701-9768
Phone number: 304-733-1094
Mailing Address
DYLAN MICHAEL LEPORT
435 CYRESS COURT
POINT PLEASANT, WV 25550
Phone number: 304-675-0160