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Bryant Jarrell

Technician, Personal Care Attendant in Ridgeview, WV. Individual provider (NPI-1).

NPI number1760091045
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1760091045
Entity type
Individual (NPI-1)
Name
Bryant Jarrell
Sex
Male
Sole proprietor
No
Enumeration date
Jul 23, 2020
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

43 Heritage Ln
Ridgeview, WV 25169-9274

Phone 304-744-1636

Mailing address

43 Heritage Ln
Ridgeview, WV 25169-9274

Phone 304-744-1636

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