Individual
BRANDI NICHOLE VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 INTERSTATE HIGHWAY, HANOVER, WV 24839
(304) 664-3754
Mailing address
PO BOX 647, HANOVER, WV 24839-0647
(304) 664-3754
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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