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Individual

MS. BRENDA JOYCE LEMASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5226 IRWIN ROAD, HUNTINGTON, WV 25705
(304) 617-7608
Mailing address
5226 IRWIN ROAD, HUNTINGTON, WV 25705
(304) 356-4562
(304) 558-4563

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032279000
PROVIDER ID
Enumeration date
12/26/2017
Last updated
12/26/2017
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