DANIEL BRUTON

CROSS LANES, WV
NPI1700474301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-01-08
Last Update Date2021-01-08
Business Address
DANIEL BRUTON
418 NEW GOFF MOUNTAIN RD STE 201
CROSS LANES, WV 25313-1488
Phone number: 304-755-9411
Mailing Address
DANIEL BRUTON
418 NEW GOFF MOUNTAIN RD STE 201
CROSS LANES, WV 25313-1488
Phone number: 304-755-9411