Individual
JASON HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 BOOMER BRANCH ROAD, BOOMER, WV 25031
(304) 206-6637
Mailing address
PO BOX 297, BOOMER, WV 25031-0297
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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