Individual
NATHAN BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 EDGEWOOD DR, COWEN, WV 26206-1177
(304) 644-7060
Mailing address
PO BOX 396, COWEN, WV 26206-0396
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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