Individual
MIKAYLA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GEORGE ST STE J, BECKLEY, WV 25801-2648
(304) 929-2670
Mailing address
130 GEORGE ST STE J, BECKLEY, WV 25801-2648
(304) 929-2670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106340
WV
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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