Bradlee Scott Weasenforth
NPI #1003698804 in Piedmont, West Virginia
Provider Information
- NPI Number
- 1003698804
- Entity Type
- Individual
- Name
- Bradlee Scott Weasenforth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 17, 2023
- Last Updated
- Oct 17, 2023
Practice Location
- Address
- 51 JONES ST APT 503
- City
- Piedmont
- State
- West Virginia
- ZIP Code
- 26750-1017
- Phone
- (681) 412-9630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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