JONATHAN RAYMOND DAVIS

CHARLESTON, WV
NPI1861081481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
JONATHAN RAYMOND DAVIS
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-344-0586
Mailing Address
JONATHAN RAYMOND DAVIS
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number: