DESIRRA FANNIN

PETERSBURG, WV
NPI1982322061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
DESIRRA FANNIN
25 AT EASE LN
PETERSBURG, WV 26847-8714
Phone number: 681-268-4258
Mailing Address
DESIRRA FANNIN
10 MAPLE HILL AVE STE 5
PETERSBURG, WV 26847-1590
Phone number: 304-250-4545
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