JEFFERSON SHRADER

ELKINS, WV
NPI1902401037
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-04
Last Update Date2020-12-04
Business Address
JEFFERSON SHRADER
27 MIDWAY LOOP
ELKINS, WV 26241-1373
Phone number: 304-636-5252
Mailing Address
JEFFERSON SHRADER
27 MIDWAY LOOP
ELKINS, WV 26241-1373
Phone number: 304-636-5252
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