DAKOTA RUSSELL

FAIRMONT, WV
NPI1831936954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-07-15
Last Update Date2024-07-15
Business Address
DAKOTA RUSSELL
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Mailing Address
DAKOTA RUSSELL
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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