Individual
GENTRY BLAIRE VASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
42 GARNET WAY, BRIDGEPORT, WV 26330-9274
(304) 360-4878
Mailing address
42 GARNET WAY, BRIDGEPORT, WV 26330-9274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
665
WV
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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