Individual
JESSICA BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 VAN VOORHIS RD, MORGANTOWN, WV 26505-0643
(304) 598-8900
Mailing address
2425 SENIOR DR, TUNNELTON, WV 26444-9051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33859
WV
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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