JONATHAN TYLER HOUCK

GALLIPOLIS, OH
NPI1871142729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-09-04
Last Update Date2019-09-04
Business Address
JONATHAN TYLER HOUCK
1134 JACKSON PIKE
GALLIPOLIS, OH 45631-2600
Phone number: 740-446-6020
Mailing Address
JONATHAN TYLER HOUCK
1134 JACKSON PIKE
GALLIPOLIS, OH 45631-2600
Phone number: 740-339-3981