Individual
BROOKS ALISA VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2954 BUFFALO CREEK RD, LOST CREEK, WV 26385-6911
(304) 669-7886
Mailing address
2954 BUFFALO CREEK RD, LOST CREEK, WV 26385-6911
(304) 669-7886
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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