POLLY LARISSA MAYNARD

HUNTINGTON, WV
NPI1851987093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
POLLY LARISSA MAYNARD
4329 HUGHES BRANCH RD
HUNTINGTON, WV 25701-9768
Phone number: 304-733-1094
Mailing Address
POLLY LARISSA MAYNARD
59 COW CREEK RD
OMAR, WV 25638-9518
Phone number: 304-946-4444
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