NATHAN ALEXANDER FRAVOR

CHARLESTON, WV
NPI1104562313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
NATHAN ALEXANDER FRAVOR DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-5590
Mailing Address
NATHAN ALEXANDER FRAVOR DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-5590
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