Individual
BREANNA LYNN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 OAKHURST DR, CHARLESTON, WV 25309-8940
(304) 982-1132
Mailing address
PO BOX 8243, SOUTH CHARLESTON, WV 25303-0243
(304) 982-1132
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/26/2023
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