Individual
ASHLEY BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5512 BIG TYLER RD, CROSS LANES, WV 25313-1304
(304) 766-9830
Mailing address
5512 BIG TYLER RD, CROSS LANES, WV 25313-1304
(304) 766-9830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106549
WV
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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