Individual
BRANDY FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5573 LONGDALE RD, LETART, WV 25253-9214
(304) 882-3003
Mailing address
5573 LONGDALE RD, LETART, WV 25253-9214
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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