DESIREE PROVOST

HUNTINGTON, WV
NPI1841957479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-11-18
Last Update Date2021-11-18
Business Address
DESIREE PROVOST
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
Mailing Address
DESIREE PROVOST
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number:
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