Individual
BRIANNA JEAN BLIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 PARADISE LN, KEYSER, WV 26726-1488
(304) 790-0852
Mailing address
73 PARADISE LN, KEYSER, WV 26726-1488
(304) 790-0852
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
07/09/2021
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