Individual
BRANDI LEE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
Mailing address
PO BOX 272, FAIRVIEW, WV 26570-0272
(304) 906-3656
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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