Lark Justin Muncy
NPI #1811500366 in Kermit, West Virginia
Provider Information
- NPI Number
- 1811500366
- Entity Type
- Individual
- Name
- Lark Justin Muncy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 25, 2020
- Last Updated
- Jun 24, 2021
Practice Location
- Address
- 2700 JENNIES CREEK RD
- City
- Kermit
- State
- West Virginia
- ZIP Code
- 25674-7224
- Phone
- (681) 735-3238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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