Individual
MR. CHARLES BRANDON MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1119 20TH ST, HUNTINGTON, WV 25703-2096
(304) 522-7553
Mailing address
1119 20TH ST, HUNTINGTON, WV 25703-2096
(304) 522-7553
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2020-3774
WV
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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