Individual
BRANDON BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 TWILIGHT DR, CHARLESTON, WV 25311-1240
(304) 421-8031
Mailing address
138 TWILIGHT DR, CHARLESTON, WV 25311-1240
(304) 521-5544
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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