Individual
HALEY OLIPHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 Q ROAD, ARTHURDALE, WV 26520
(757) 647-8560
Mailing address
PO BOX 133, ARTHURDALE, WV 26520-0133
(757) 647-8560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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