Individual
BREANNA NICOLE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 DEEPHOLE BRANCH RD, GENOA, WV 25517-7701
(304) 939-8226
Mailing address
570 DEEPHOLE BRANCH RD, GENOA, WV 25517-7701
(304) 939-8226
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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