Individual
BRANDON BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 COLONY DR, CHARLESTON, WV 25314-1790
(304) 946-1674
Mailing address
PO BOX 18121, SOUTH CHARLESTON, WV 25303-8121
(304) 946-1674
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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