Individual
REBECCA BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
(304) 202-3864
Mailing address
300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
(304) 532-2774
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
23201
WV
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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