Individual
BRIANNA NICOLE LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 HIGH ST, MANNINGTON, WV 26582-1321
(304) 997-7120
Mailing address
112 HIGH ST, MANNINGTON, WV 26582-1321
(304) 997-7120
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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