RICHARD MICHAEL DEAN

LAKE, WV
NPI1831914308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: WV  2WH455)
Enumeration Date2024-11-20
Last Update Date2024-11-20
Business Address
RICHARD MICHAEL DEAN
1295 MAIN HEWETT CREEK RD
LAKE, WV 25121-9621
Phone number: 304-915-6298
Mailing Address
RICHARD MICHAEL DEAN
1295 MAIN HEWETT CREEK RD
LAKE, WV 25121-9621
Phone number: 304-915-6298