Individual
BRANDY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 OAK ST, KENOVA, WV 25530-1334
(681) 888-6970
Mailing address
3609 HUGHES ST, HUNTINGTON, WV 25704-1952
(304) 429-0070
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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