AUTUMN JAYNE JOHNSON

CHARLESTON, WV
NPI1952195034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2025-04-05
Last Update Date2025-04-05
Business Address
AUTUMN JAYNE JOHNSON
20 BROOKS ST
CHARLESTON, WV 25301-2903
Phone number: 030-476-6966
Mailing Address
AUTUMN JAYNE JOHNSON
20 BROOKS ST
CHARLESTON, WV 25301-2903
Phone number: 030-476-6966