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Mistyazia Bolyard
Student in an Organized Health Care Education/Training Program in Grafton, West Virginia
NPI 1376313726

Mistyazia Bolyard is a Student in an Organized Health Care Education/Training Program based in Grafton, WV. Mistyazia Bolyard practices in Grafton, WV. The NPI Number for Mistyazia Bolyard is 1376313726 and holds a License No. (West Virginia).

The current practice location address for Mistyazia Bolyard is 1136 N Pike St, Grafton, WV and can be reached out via phone at 304-672-1355.

Location: 1136 N Pike St, Grafton, WV, 26354-2624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376313726
Provider Name
Mistyazia Bolyard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1136 N Pike St, Grafton, WV, 26354-2624
Phone Number
304-672-1355
Fax Number
Provider Enumeration Date
01/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1136 N Pike St
City
Grafton
State
West Virginia
Zip
26354-2624
Phone Number
304-672-1355
Fax Number
person
Provider Business Mailing Address Details
Address
1136 N Pike St
City
Grafton
State
West Virginia
Zip
26354-2624
Phone Number
304-672-1355
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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