Individual
JULIA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 28TH ST, VIENNA, WV 26105-1457
(304) 555-5555
Mailing address
815 28TH ST, VIENNA, WV 26105-1457
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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