LISA DEFAZIO

CHARLES TOWN, WV
NPI1790444172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
LISA DEFAZIO
110 AUGUSTINE AVE
CHARLES TOWN, WV 25414-1606
Phone number: 304-268-9057
Mailing Address
LISA DEFAZIO
110 AUGUSTINE AVE
CHARLES TOWN, WV 25414-1606
Phone number: 304-268-9057
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