Individual
BREANNA CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N SPRING ST, BUCKHANNON, WV 26201-2720
(304) 472-0395
(304) 471-2488
Mailing address
209 BASKETWEAVE LN, BUCKHANNON, WV 26201-3973
(304) 619-3907
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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