Individual
BREANNA JANE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CLEARBROOK AVE, BUD, WV 24716
(304) 320-3838
Mailing address
66 CLEARBROOK AVE, BUD, WV 24716
(304) 320-3838
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
WV
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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