Individual
MRS. SUMMER NICOLE BRUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
1510 KANAWHA BLVD E, CHARLESTON, WV 25311-2413
(304) 552-2420
Mailing address
1510 KANAWHA BLVD E, CHARLESTON, WV 25311-2413
(304) 552-2420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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