Individual
NAKITA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1538 CHARLESTON AVE, HUNTINGTON, WA 25701
(606) 694-0650
Mailing address
1538 CHARLESTON AVE, HUNTINGTON, WA 25701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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