Individual
MICHAEL RAY VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 MOUNTAIN PARK DR, FAIRMONT, WV 26554-8992
(304) 816-3687
(304) 816-3737
Mailing address
16 MOUNTAIN PARK DR, FAIRMONT, WV 26554-8992
(304) 816-3687
(304) 816-3737
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WV
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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