PETER LEON TANNER

SUTTON, WV
NPI1942025010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-11-22
Last Update Date2024-11-22
Business Address
PETER LEON TANNER
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
Mailing Address
PETER LEON TANNER
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
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