Individual
BROOKELYN POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 MOUNTAIN TOP DR, PRINCETON, WV 24740-9272
(304) 951-1271
Mailing address
307 MOUNTAIN TOP DR, PRINCETON, WV 24740-9272
(304) 951-1271
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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