Individual
NICOLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 THOMPSON ST, CHARLESTON, WV 25311-1933
(304) 444-9723
Mailing address
909 THOMPSON ST, CHARLESTON, WV 25311-1933
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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