Individual
RICHARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
557 MAIN ST, CHAPMANVILLE WV, WV 25508
(304) 855-4764
Mailing address
PO BOX 4304, CHAPMANVILLE, WV 25508-4304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103002
WV
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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