Individual
BRANDI DAWN HAYNES-GUNNOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
200 UPPER KANAWHA VALLEY, CABIN CREEK, WV 25035
(304) 553-2034
Mailing address
PO BOX 162, VAN, WV 25206-0162
(304) 881-6712
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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