Most Relevant Information
Provider Data
| NPI Number: | 1003501321 |
| Provider Name: | CALEB RAY BROOKS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2023 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
5879 DAVIS CREEK RD TRLR 2
BARBOURSVILLE
WV
255041125
Practice Location Phone/Fax
| Phone: | 3047331094 |
| Fax: |
Provider Mailing Location
5879 DAVIS CREEK RD TRLR 2
BARBOURSVILLE
WV
255041125
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |