Individual
BRENDA PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 BALTIMORE ST APT 2A, KEYSER, WV 26726-2211
(304) 813-7224
Mailing address
575 BALTIMORE ST APT 2A, KEYSER, WV 26726-2211
(304) 813-7224
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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