Individual
BREONNA ESSEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 HARRISON AVE, ELKINS, WV 26241-3325
(304) 636-4390
Mailing address
203 1/2 1ST ST, ELKINS, WV 26241-4015
(202) 604-7780
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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