NPI 1023607116
Breonna Dillon
Practice location
- Address
- 1610 Main Hewetts Creek Road, Lake, WV 25121
- Phone
- (304) 946-0100
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1023607116
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jan 2021
- Record last updated
- 13 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.