Individual
BRANDON MAUZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 HARRISON AVE, ELKINS, WV 26241-3325
(304) 636-4390
Mailing address
1170 GREENAWALT GAP RD, UPPER TRACT, WV 26866-7551
(304) 490-7652
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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