Individual
ALYSSA BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 DODD DR, SPENCER, WV 25276-1046
(304) 377-3491
Mailing address
132 DODD DR, SPENCER, WV 25276-1046
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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