TYLER LANE KETCHEM

PARKERSBURG, WV
NPI1861086555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-02-24
Last Update Date2021-02-24
Business Address
TYLER LANE KETCHEM
4421 EMERSON AVE STE 204
PARKERSBURG, WV 26104-1200
Phone number: 304-295-0890
Mailing Address
TYLER LANE KETCHEM
4421 EMERSON AVE STE 204
PARKERSBURG, WV 26104-1200
Phone number: 304-295-0890
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