Individual
VICKI FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LOG CABIN ST, LOGAN, WV 25601-4047
(304) 752-8514
Mailing address
55 LOG CABIN ST, LOGAN, WV 25601-4047
(304) 752-8514
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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