Individual
BRENDA SUE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 BRUCE RD, MOUNT NEBO, WV 26679-8042
(304) 880-3836
Mailing address
1121 BRUCE RD, MOUNT NEBO, WV 26679-8042
(304) 880-3836
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
12/23/2022
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