NICHOLAS BRYANT

CROSS LANES, WV
NPI1295328920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-13
Last Update Date2021-02-13
Business Address
NICHOLAS BRYANT
5415 BENNETT DR
CROSS LANES, WV 25313-1249
Phone number: 304-380-5004
Mailing Address
NICHOLAS BRYANT
5415 BENNETT DR
CROSS LANES, WV 25313-1249
Phone number: