Individual
JERRY BOGGS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
547 ANGEL LN, GALLIPOLIS FERRY, WV 25515-7160
(304) 593-4069
Mailing address
547 ANGEL LN, GALLIPOLIS FERRY, WV 25515-7160
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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