ETHAN WAYNE HALL

BECKLEY, WV
NPI1881299436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-12-02
Last Update Date2023-01-10
Business Address
ETHAN WAYNE HALL
529 NEWPORT CT
BECKLEY, WV 25801-2177
Phone number: 304-673-2931
Mailing Address
ETHAN WAYNE HALL
529 NEWPORT CT
BECKLEY, WV 25801-2177
Phone number: 304-673-2931