Demon Gary
Demon Gary is a Personal Care Attendant in Lewisburg, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
765 Jefferson St SLewisburg, WV 24901-2084
Phone: (304) 645-0057
Fax: (304) 645-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1144816703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | December 17, 2020 |
| Certification date | December 17, 2020 |
| Mailing address | 765 Jefferson St S, Lewisburg, WV 24901-2084 |
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