Individual
JAXON NUZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1434 CAROLYN RD, FAIRMONT, WV 26554-5007
(304) 777-6800
Mailing address
1434 CAROLYN RD, FAIRMONT, WV 26554-5007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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