BRENDA CARYL HEISE

CLARKSBURG, WV
NPI1477261642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  39841)
Enumeration Date2022-11-07
Last Update Date2022-11-07
Business Address
BRENDA CARYL HEISE LPN
2673 DAVISSON RUN RD
CLARKSBURG, WV 26301-6838
Phone number: 304-624-2424
Mailing Address
BRENDA CARYL HEISE LPN
2673 DAVISSON RUN RD
CLARKSBURG, WV 26301-6838
Phone number: 681-342-1966
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