Individual
MRS. BRENDA JOAN BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
312 SWAN POND RD, WILEY FORD, WV 26767-8015
(304) 738-2134
Mailing address
312 SWAN POND RD, WILEY FORD, WV 26767
(304) 738-2134
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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