Individual
MR. JOHN MASON PRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(681) 753-5802
Mailing address
444 LEONARD AVE, FAIRMONT, WV 26554
(304) 365-3581
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
039170
WV
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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