Individual
BRANDON TYLER STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4329 HUGHES BRANCH RD, HUNTINGTON, WV 25701-9768
(304) 733-1094
Mailing address
3114 WAVERLY RD, HUNTINGTON, WV 25704-2711
(304) 962-9423
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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