RAVEN JOHNSON

BECKLEY, WV
NPI1821673245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-03-17
Last Update Date2021-03-17
Business Address
RAVEN JOHNSON
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
Mailing Address
RAVEN JOHNSON
18543 STANAFORD RD
DANESE, WV 25831-7045
Phone number: 304-520-5494
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