Mary Ellen Brace LMT

NPI 1629252036 - Contractor - 171W00000X

NPI Details
NPI 1629252036
Gender Female
Enumeration Date 12/20/2007
Last Updated 12/20/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
298 TROY AVE
MARTINSBURG WV, 25404-5455, US
Phone (304) 283-2842
Fax
Business Location
298 TROY AVE
MARTINSBURG WV, 25404-5455, US
Phone (304) 283-2842
Fax
Toxanomy
Taxonomy Code 171W00000X
License State West Virginia
License Number 2004-1439
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According to our database, Mrs. Mary Ellen Brace LMT NPI is 1629252036, taxonomy code is 171W00000X and license number is 2004-1439, license state is located at West Virginia. Mary Ellen Brace LMT physically located at 298 Troy Ave, Martinsburg WV, 25404-5455. NPI Number Mary Ellen Brace LMT has the Individual type.

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1629252036 NPI number is provided on an as is basis without warranty of any kind. 1629252036 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ellen Brace LMT are for informational purposes only.