Individual
NICOLE BISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 CIRCLE DR, CLARKSBURG, MH 26301
(304) 842-0200
Mailing address
183 CIRCLE DR, CLARKSBURG, MH 26301
(304) 842-0200
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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