BURNETT L BRAKE

CHARLESTON, WV
NPI1801509997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-01-04
Last Update Date2023-01-04
Business Address
BURNETT L BRAKE PRSS
1511 WASHINGTON ST E
CHARLESTON, WV 25311-2505
Phone number: 304-741-7106
Mailing Address
BURNETT L BRAKE PRSS
1514 KANAWHA BLVD W
CHARLESTON, WV 25387-2533
Phone number: 304-768-7688