Individual
MR. NATHAN BLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 COAL DOCK RD, WAVERLY, OH 45690-9799
(740) 222-6004
Mailing address
251 COAL DOCK RD, WAVERLY, OH 45690-9799
(740) 222-6004
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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