Individual
ALISIA SPRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 AVENUE B, MADISON, WV 25130-1162
(304) 369-8245
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
37791
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010677
—
WV
Enumeration date
01/24/2013
Last updated
01/24/2013
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