Individual
SAMUEL BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 WILSON ST, CRAB ORCHARD, WV 25827-9426
(304) 673-0523
Mailing address
426 WILSON ST, CRAB ORCHARD, WV 25827-9426
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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