DAULTON USHAWN RUNYON

GLENWOOD, WV
NPI1891403028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-11-07
Last Update Date2022-11-07
Business Address
DAULTON USHAWN RUNYON
6520 UNION RIDGE RD
GLENWOOD, WV 25520-1212
Phone number: 304-733-1094
Mailing Address
DAULTON USHAWN RUNYON
6520 UNION RIDGE RD
GLENWOOD, WV 25520-1212
Phone number:
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