Individual
CARL NITINTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 CHESTNUT KNOB RD, LAYLAND, WV 25864-2586
(626) 319-1978
Mailing address
664 FORD KNOB RD, MEADOW BRIDGE, WV 25976-6981
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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