Individual
BREANNA RENEE EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 GUYAN AVE APT A, HUNTINGTON, WV 25702-1128
(304) 733-1094
Mailing address
2702 GUYAN AVE APT A, HUNTINGTON, WV 25702-1128
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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