Individual
BETTY JO BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12743 LEON BADEN RD, LEON, WV 25123-5366
(304) 812-8900
Mailing address
12743 LEON BADEN RD, LEON, WV 25123-5366
(304) 812-8900
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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