Individual
BRENDA CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3934
(304) 348-0707
(304) 344-3546
Mailing address
1710 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3934
(304) 348-0707
(304) 344-3546
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255476511
—
WV
05
—
1982825972
—
WV
Enumeration date
12/21/2020
Last updated
12/21/2020
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