Individual
ANGELA DAWN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 GARDEN ST, GLEN FORK, WV 25845
(304) 923-4485
Mailing address
PO BOX 402, GLEN FORK, WV 25845-0402
(304) 923-4485
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
01/09/2023
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