Individual
TAMMY MARIE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PEACH CREEK RD, PEACH CREEK, WV 25639
(681) 214-1550
Mailing address
PO BOX 800, CHAPMANVILLE, WV 25508-0800
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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