JONATHAN TYLER DEATON

PAINTSVILLE, KY
NPI1902634454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-07-25
Last Update Date2026-01-14
Business Address
JONATHAN TYLER DEATON PSS
625 JAMES S TRIMBLE BLVD
PAINTSVILLE, KY 41230-1065
Phone number: 606-789-3511
Mailing Address
JONATHAN TYLER DEATON PSS
625 JAMES S TRIMBLE BLVD
PAINTSVILLE, KY 41230-1065
Phone number: 606-789-3511