Individual
BRANDON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 MERCER ST STE D, PRINCETON, WV 24740-3114
(304) 431-2443
Mailing address
151 GLAM CT LOT 3, PRINCETON, WV 24740-3990
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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