MICHAEL GARDNER

RUPERT, WV
NPI1912713512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-12-09
Last Update Date2024-12-09
Business Address
MICHAEL GARDNER
139 MOUNTAIN TRL
RUPERT, WV 25984-8710
Phone number: 304-246-2535
Mailing Address
MICHAEL GARDNER
139 MOUNTAIN TRL
RUPERT, WV 25984-8710
Phone number: 304-246-2535