Individual
ERICKA L BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 365-3565
Mailing address
PO BOX 381, MASONTOWN, WV 26542-0381
(304) 575-0969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72018
WV
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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