Individual
BRIANNA WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BRISTOL PL, SCOTT DEPOT, WV 25560-5604
(304) 610-4029
Mailing address
19 BRISTOL PL, SCOTT DEPOT, WV 25560-5604
(304) 610-4029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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