Individual
BROOK POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 MERCER ST # D, PRINCETON, WV 24740-3114
(304) 431-2443
Mailing address
188 AZALEA ST, PRINCETON, WV 24739-8761
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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