Individual
BROOK MAKALA JANE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 LONESOME CEDAR, HURRICANE, WV 25526-5979
(304) 926-4938
Mailing address
149 LONESOME CEDAR, HURRICANE, WV 25526-5979
(304) 926-4938
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/05/2023
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