ZICI S BLOODSTONE

CHARLESTON, WV
NPI1245901404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
ZICI S BLOODSTONE
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
Mailing Address
ZICI S BLOODSTONE
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200