MISS Celicia Nachelle Fruit
NPI #1427348846 in Mount Hope, West Virginia
Provider Information
- NPI Number
- 1427348846
- Entity Type
- Individual
- Name
- MISS Celicia Nachelle Fruit
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 19, 2011
- Last Updated
- Apr 19, 2011
Practice Location
- Address
- 204 OAKMONT WAY
- City
- Mount Hope
- State
- West Virginia
- ZIP Code
- 25880-9492
- Phone
- (304) 640-2917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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