Individual
BRENDA JANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 JOHN C. CRIDER ROAD, PURGITSVILLE, WV 26852
(304) 703-6538
Mailing address
PO BOX 83, OLD FIELDS, WV 26845-0083
(304) 703-6538
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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