Individual
MATTHEW BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-2737
(304) 598-8900
Mailing address
1111 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-2737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37385
WV
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/10/2022
Last updated
12/07/2022
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