Individual
MRS. ANDREA MARIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
411 NORTH ST RT 2, NEW MARTINSVILLE, WV 26155
(304) 455-5515
(304) 455-4796
Mailing address
9497 MOUNTAINEER HWY, NEW MARTINSVILLE, WV 26155
(304) 815-3304
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
29920
WV
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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