Glenn Louis West
NPI #1518564723 in Boomer, West Virginia
Provider Information
- NPI Number
- 1518564723
- Entity Type
- Individual
- Name
- Glenn Louis West
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 1, 2020
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 2792 MIDLAND TRAIL
- City
- Boomer
- State
- West Virginia
- ZIP Code
- 25031
- Phone
- (304) 779-3143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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