Individual
SAMANTHA JADE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 STONEY RIDGE RD, BLUEFIELD, WV 24701-4270
(304) 920-9395
Mailing address
338 STONEY RIDGE RD, BLUEFIELD, WV 24701-4270
(304) 920-9395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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