Individual
JESSICA BLIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 GEORGES RUN RD, RIDGELEY, WV 26753-7435
(240) 920-2358
Mailing address
4420 GEORGES RUN RD, RIDGELEY, WV 26753-7435
(240) 920-2358
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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