ANTHONY J DECARLO

CHARLESTON, WV
NPI1952907453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WV  48239)
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
ANTHONY J DECARLO
4510 PENNSYLVANIA AVE STE C
CHARLESTON, WV 25302-4835
Phone number: 304-965-9081
Mailing Address
ANTHONY J DECARLO
248 BURGESS DR
CHARLESTON, WV 25312-8143
Phone number: 304-932-6743