Individual
BREANDA LASHA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 RAMBLING HILLS RD, ELKVIEW, WV 25071-9538
(304) 446-3475
Mailing address
645 RAMBLING HILLS RD, ELKVIEW, WV 25071-9538
(304) 446-3475
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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