LATISHA MAE WOOTEN

KENOVA, WV
NPI1780284463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
LATISHA MAE WOOTEN
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
Mailing Address
LATISHA MAE WOOTEN
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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