Individual
MR. LIONEL DWAYNE MCBRAYER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 FRAZIER WAY, SCOTT DEPOT, WV 25560-9018
(304) 541-1000
Mailing address
14 FRAZIER WAY, SCOTT DEPOT, WV 25560-9018
(304) 541-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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