SUPRENIA VANCE

ELKINS, WV
NPI1912508110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-11-04
Last Update Date2020-11-04
Business Address
SUPRENIA VANCE
1408 HARRISON AVE
ELKINS, WV 26241-3325
Phone number: 304-636-4390
Mailing Address
SUPRENIA VANCE
21 CENTRAL AVE
PETERSBURG, WV 26847-1701
Phone number: 304-703-2508
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