Individual
BRANDY DIANEMEE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186 SMITH RD, BAKER, WV 26801
(540) 325-1270
Mailing address
411 VIRGINIA AVE STE A, PETERSBURG, WV 26847-1719
(304) 250-4545
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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