Individual
BREANNA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 GEORGE ST, BECKLEY, WV 25801-2641
(304) 255-0620
Mailing address
112C MILLER BRAGG CIR, MOUNT HOPE, WV 25880-9467
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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