Mistyazia Bolyard

NPI #1376313726 in Grafton, West Virginia

Provider Information

NPI Number: 1376313726
Entity Type: Individual
Name: Mistyazia Bolyard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 8, 2024
Last Updated: Jan 8, 2024

Practice Location

Address: 1136 N PIKE ST
City: Grafton
State: West Virginia
ZIP Code: 26354-2624
Phone: (304) 672-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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