Individual
BRIAN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5982 TOMBLESON RD, LETART, WV 25253-9377
(740) 645-8717
Mailing address
5982 TOMBLESON RD, LETART, WV 25253-9377
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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